Volume 20 Issue 2
Feb.  2022
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(2): 228-232
ZHOU A-pei, CHEN Dong, HU Kai, SHEN Wei, SU Hao, TANG Bi. Clinical effect of cryoballoon catheter ablation in patients with atrial fibrillation Combining with heart failure[J]. Chinese Journal of General Practice, 2022, 20(2): 228-232. doi: 10.16766/j.cnki.issn.1674-4152.002319
Citation: ZHOU A-pei, CHEN Dong, HU Kai, SHEN Wei, SU Hao, TANG Bi. Clinical effect of cryoballoon catheter ablation in patients with atrial fibrillation Combining with heart failure[J]. Chinese Journal of General Practice, 2022, 20(2): 228-232. doi: 10.16766/j.cnki.issn.1674-4152.002319
shu

Clinical effect of cryoballoon catheter ablation in patients with atrial fibrillation Combining with heart failure

doi: 10.16766/j.cnki.issn.1674-4152.002319
  • 1.

    Graduate School, Bengbu Medical College , Bengbu, Anhui 233030, China

Funds:

 2018H176

 Byycx20024

  • Received Date: 2021-04-17
    Available Online: 2022-03-04
    Abstract
  •   Objective  To evaluate the safety and efficacy of cryoballoon catheter ablation (CCA) in patients with atrial fibrillation Combining with heart failure.  Methods  A retrospective analysis of 3 patients with atrial fibrillation Combining with heart failure diagnosed at the First Affiliated Hospital of the University of Science and Technology of China from June 2020 to November 2020 was performed to observe the safety of CCA treatment. The results of echocardiography, dynamic electrocardiogram, cardiac function grading and N-terminal B-type natriuretic peptide (NT-proBNP) were examined after 3 and 6 months to observe the effectiveness of CCA therapy.  Results  All patients successfully achieved complete pulmonary vein isolation (PVI). Patient 1 converted to atrial flutter after PVI, which was proven to be typical atrial flutter and dependent on tricuspid isthmus by activation and entrainment mapping, and then turned to sinus rhythm after tricuspid isthmus isolation. Electrocardioversion of patients 2 and 3 turned to sinus rhythm following pulmonary vein isolation, and atrial voltage was mapped under sinus rhythm. All three patients had neither matrix modification nor complications. Echocardiography significantly improved (LVEF increased by 28%, 32% and 21% at 6 months post-operation, respectively; LVEDD and LAD significantly reduced), and NYHA functional class all improved to Ⅰ. The BNP of all patients reduced to the normal range. However, recurrence was found in patient 1 at 6 months follow-up. The successful CCA treatment was administered again, and no AF occurred at 6 months follow-up.  Conclusion  CCA for patients with atrial fibrillation Combining with heart failure is safe, which may improve cardiac function and cardiac structure and reduce NT-proBNP.

     

    • FullText(HTML)
  • loading
    • References(16)
  • [1]
    SANTHANAKRISHNAN R, WANG N, LARSON M G, et al. Atrial fibrillation begets heart failure and vice versa: Temporal associations and differences in preserved versus reduced ejection fraction[J]. Circulation, 2016, 133(5): 484-492. doi: 10.1161/CIRCULATIONAHA.115.018614
    [2]
    中华医学会心电生理和起搏分会, 中国医师协会心律学专业委员会. 经冷冻球囊导管消融心房颤动中国专家共识[J]. 中国心脏起搏与心电生理杂志, 2020, 34(2): 95-108. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXZ202002001.htm
    [3]
    孙爱娇, 辜和平, 宋德明, 等. 射频消融术治疗快速心律失常临床疗效分析[J]. 中华全科医学, 2012, 10(9): 1380-1383. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201209028.htm
    [4]
    DI BIASE L, MOHANTY P, MOHANTY S, et al. Ablation versus amiodarone for treatment of persistent atrial fibrillation in patients with congestive heart failure and an implanted device: Results from the aatac multicenter randomized trial[J]. Circulation, 2016, 133(17): 1637-1644. doi: 10.1161/CIRCULATIONAHA.115.019406
    [5]
    MARROUCHE N F, BRACHMANN J, ANDRESEN D, et al. Catheter ablation for atrial fibrillation with heart failure[J]. N Engl J Med, 2018, 378(5): 417-427. doi: 10.1056/NEJMoa1707855
    [6]
    HINDRICKS G, POTPARA T, DAGRES N, et al. 2020 ESC guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the european association for cardio-thoracic surgery (EACTS)[J]. Eur Heart J, 2021, 42(5): 373-498.
    [7]
    CHUN K R J, BRUGADA J, ELVAN A, et al. The impact of cryoballoon versus radiofrequency ablation for paroxysmal atrial fibrillation on healthcare utilization and costs: An economic analysis from the fire and ice trial[J]. Am Heart Assoc, 2017, 6(8): e006043. http://pubmedcentralcanada.ca/pmcc/articles/PMC5586445/
    [8]
    MORIN D P, BERNARD M L, MADIAS C, et al. The state of the art: Atrial fibrillation epidemiology, prevention, and treatment[J]. Mayo Clin Proc, 2016, 91(12): 1778. doi: 10.1016/j.mayocp.2016.08.022
    [9]
    黄从新, 张澍, 黄德嘉, 等. 心房颤动: 目前的认识和治疗的建议-2018[J]. 中国心脏起搏与心电生理杂志, 2018, 32(4): 315-368. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXZ201804002.htm
    [10]
    HEEGER C H, ABDIN A, MATHEW S, et al. Efficacy and safety of cryoballoon ablation in patients with heart failure and reduced left ventricular ejection fraction: A multicenter study[J]. Circ J, 2019, 83(8): 1653-1659. doi: 10.1253/circj.CJ-19-0151
    [11]
    POTT A, JÄCK S, SCHWEIZER C, et al. Atrial fibrillation ablation in heart failure patients: Improved systolic function after cryoballoon pulmonary vein isolation[J]. ESC Heart Fail, 2020, 7(5): 2258-2267. doi: 10.1002/ehf2.12735
    [12]
    RATTKA M, POTT A, KVHBERGER A, et al. Restoration of sinus rhythm by pulmonary vein isolation improves heart failure with preserved ejection fraction in atrial fibrillation patients[J]. Europace, 2020, 22(9): 1328-1336. doi: 10.1093/europace/euaa101
    [13]
    SUGUMAR H, NANAYAKKARA S, PRABHU S, et al. Pathophysiology of atrial fibrillation and heart failure: Dangerous interactions[J]. Cardiol Clin, 2019, 37(2): 131-138. doi: 10.1016/j.ccl.2019.01.002
    [14]
    TONDO C, IACOPINO S, PIERAGNOLI P, et al. Pulmonary vein isolation cryoablation for patients with persistent and long-standing persistent atrial fibrillation: Clinical outcomes from the real-world multicenter observational project[J]. Heart Rhythm, 2018, 15(3): 363-368. doi: 10.1016/j.hrthm.2017.10.038
    [15]
    AKKAYA E, BERKOWITSCH A, ZALTSBERG S, et al. Second-generation cryoballoon ablation for treatment of persistent atrial fibrillation: Three-year outcome and predictors of recurrence after a single procedure[J]. J Cardiovasc Electrophysiol, 2018, 29(1): 38-45. doi: 10.1111/jce.13372
    [16]
    OMRAN H, GUTLEBEN K J, MOLATTA S, et al. Second generation cryoballoon ablation for persistent atrial fibrillation: An updated meta-analysis[J]. Clin Res Cardiol, 2018, 107(2): 182-192. doi: 10.1007/s00392-017-1171-5
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(3)  / Tables(3)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (277) PDF downloads(10) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return