Volume 19 Issue 9
Sep.  2021
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Article Navigation >  Chinese Journal of General Practice  > 2021  >  19(9): 1584-1588
YAO Yu-fei, CHEN Hong-wu, WANG Lin, DAI Wei-si, JIANG Hong-mei, CHEN Yu-jie, SUN Guo-zhen. Relationship between gastrointestinal symptoms and quality of life in patients with atrial fibrillation after different ablation methods[J]. Chinese Journal of General Practice, 2021, 19(9): 1584-1588. doi: 10.16766/j.cnki.issn.1674-4152.002117
Citation: YAO Yu-fei, CHEN Hong-wu, WANG Lin, DAI Wei-si, JIANG Hong-mei, CHEN Yu-jie, SUN Guo-zhen. Relationship between gastrointestinal symptoms and quality of life in patients with atrial fibrillation after different ablation methods[J]. Chinese Journal of General Practice, 2021, 19(9): 1584-1588. doi: 10.16766/j.cnki.issn.1674-4152.002117
shu

Relationship between gastrointestinal symptoms and quality of life in patients with atrial fibrillation after different ablation methods

doi: 10.16766/j.cnki.issn.1674-4152.002117
  • 1.

    School of Nursing, Nanjing Medical University, Nanjing, Jiangsu 210029, China

Funds:

 BE2017754

 苏教研[2016]9号

  • Received Date: 2020-12-07
    Available Online: 2022-02-15
    Abstract
  •   Objective  To compare the differences in patients with atrial fibrillation (AF) after two different ablation methods.  Methods  From September 2019 to May 2020, a total of 87 patients with ablation of AF who were admitted at the Department of Cardiology, Jiangsu Province Hospital were analysed. The patients were divided into two groups: circumferential pulmonary vein ablation (CPVI) group (44 patients) and circumferential pulmonary vein combined with left atrial posterior wall isolation (CVPI-LAPWI) group (43 patients). We evaluated the relevant symptoms using the Gastrointestinal Symptom Rating Scale (GSRS) and Atrial Fibrillation Effect on QualiTy-of-Life (AFEQT) scale.  Results  The incidences of abdominal pain (34.88% vs. 4.55%, P < 0.001) and heartburn (62.79% vs. 22.73%, P < 0.001) in the CPVI-LAPWI group were significantly higher than those in the CPVI group. However, the incidences of increased exhaustion (11.63% vs. 29.54%, P=0.039) and incomplete defecation (6.98% vs. 27.27%, P=0.013) were significantly lower in the CPVI-LAPWI group than in the CPVI group. According to the GSRS score, the symptoms of abdominal pain (P=0.005), reflux (P < 0.001) and constipation (P=0.033) in the CPVI-LAPWI group were more serious than those in the CPVI group. A negative correlation was observed between the AFEQT score and the GSRS score in all AF patients (r=-0.359, P=0.001). The correlation coefficient of the CPVI-LAPWI group was -0.440 (P=0.003), and that of the CPVI group was -0.328 (P=0.030).  Conclusion  The quality of life of patients with AF after ablation is closely related to gastrointestinal symptoms. Nurses should pay more attention to abdominal pain, reflux and heartburn of patients undergoing CPVI-LAPWI.

     

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