Volume 19 Issue 9
Sep.  2021
Turn off MathJax
Article Contents
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.

     

    • FullText(HTML)
  • loading
    • References(23)
  • [1]
    CHUGH S S, HAVMOELLER R, NARAYANAN K, et al. Worldwide epidemiology of atrial fibrillation: A global burden of disease 2010 study[J]. Circulation, 2014, 129(8): 837-847. doi: 10.1161/CIRCULATIONAHA.113.005119
    [2]
    DU X, GUO L, HE X, et al. A comparison of the real world effectiveness of catheter ablation and drug therapy in atrial fibrillation patients in a Chinese setting[J]. BMC Cardiovasc Disord, 2017, 17(1): 204. doi: 10.1186/s12872-017-0634-y
    [3]
    HACHEM A H, MARINE J E, TAHBOUB H A, et al. Radiofrequency ablation versus cryoablation in the treatment of paroxysmal atrial fibrillation: A meta-analysis[J]. Cardiol Res Pract, 2018, 2018: 6276241. DOI: 10.1155/2018/6276241.
    [4]
    FURNKRANZ A, BORDIGNON S, SCHMIDT B, et al. Improved procedural efficacy of pulmonary vein isolation using the novel second-generation cryoballoon[J]. J Cardiovasc Electrophysiol, 2013, 24(5): 492-497. doi: 10.1111/jce.12082
    [5]
    HUANG T C, LO L W, YAMADA S, et al. Gastroesophageal reflux disease and atrial fibrillation: Insight from autonomic cardiogastric neural interaction[J]. J Cardiovasc Electrophysiol, 2019, 30(11): 2262-2270. doi: 10.1111/jce.14181
    [6]
    KAPUR S, BARBHAIYA C, DENEKE T, et al. Esophageal injury and atrioesophageal fistula caused by ablation for atrial fibrillation[J]. Circulation, 2017, 136(13): 1247-1255. doi: 10.1161/CIRCULATIONAHA.117.025827
    [7]
    LJOTSSON B, JONES M, TALLEY N J, et al. Discriminant and convergent validity of the GSRS-IBS symptom severity measure for irritable bowel syndrome: A population study[J]. United European Gastroenterol J, 2020, 8(3): 284-292. doi: 10.1177/2050640619900577
    [8]
    ARCHAMPONG T N, ASMAH R H, WIREDU E K, et al. Factors associated with gastro-duodenal disease in patients undergoing upper GI endoscopy at the Korle-Bu Teaching Hospital, Accra, Ghana[J]. Afr Health Sci, 2016, 16(2): 611-619. doi: 10.4314/ahs.v16i2.32
    [9]
    HOLMES D N, PICCINI J P, ALLEN L A, et al. Defining clinically important difference in the atrial fibrillation effect on quality-of-life score[J]. Circ Cardiovasc Qual Outcomes, 2019, 12(5): e5358. http://www.researchgate.net/publication/333137426_Defining_Clinically_Important_Difference_in_the_Atrial_Fibrillation_Effect_on_Quality-of-Life_Score_Results_From_the_Outcomes_Registry_for_Better_Informed_Treatment_of_Atrial_Fibrillation
    [10]
    ANDRADE J G, WELLS G A, DEYELL M W, et al. Cryoablation or drug therapy for initial treatment of atrial fibrillation[J]. N Engl J Med, 2021, 384(4): 305-315. doi: 10.1056/NEJMoa2029980
    [11]
    王玉婷, 苏浩, 杨好意, 等. 经食管超声心动图评价左心耳功能对房颤导管射频消融术后复发的预测价值[J]. 中华全科医学, 2020, 18(9): 1547-1550. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202009033.htm
    [12]
    HA A C T, WIJEYSUNDERA H C, BIRNIE D H, et al. Real-world outcomes, complications, and cost of catheter-based ablation for atrial fibrillation: An update[J]. Curr Opin Cardiol, 2017, 32(1): 47-52. doi: 10.1097/HCO.0000000000000348
    [13]
    饶明亮, 侯月梅. 心脏自主神经的结构和功能与心房颤动的研究及存在问题[J]. 中国心脏起搏与心电生理杂志, 2016, 30(6): 471-475. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXZ201606002.htm
    [14]
    BISIGNANI A, OVEREINDER I, KAZAWA S, et al. Posterior box isolation as an adjunctive ablation strategy with the second-generation cryoballoon for paroxysmal atrial fibrillation: A comparison with standard cryoballoon pulmonary vein isolation[J]. J Interv Card Electrophysiol, 2020. DOI: 10.1007/s10840-020-00812-z.
    [15]
    DORIAN P, BURK C, MULLIN CM, et al. Interpreting changes in quality of life in atrial fibrillation: How much change is meaningful[J]. Am Heart J, 2013, 166(2): 381-387. e8. doi: 10.1016/j.ahj.2013.04.015
    [16]
    夏为书, 张红玲, 袁媛. 宫颈癌患者同步放化疗期间的症状群与生活质量的相关性研究[J]. 重庆医学, 2020, 49(3): 471-476. https://www.cnki.com.cn/Article/CJFDTOTAL-CQYX202003030.htm
    [17]
    CHOI S W, KANG S H, KWON O S, et al. A case of severe gastroparesis: Indigestion and weight loss after catheter ablation of atrial fibrillation[J]. Pacing Clin Electrophysiol, 2012, 35(3): e59-e61. doi: 10.1111/j.1540-8159.2010.02912.x
    [18]
    方珏雯. 胃肠道综合护理干预对房颤射频消融术后迷走神经紊乱恢复的效果[J]. 当代护士(上旬刊), 2019, 26(9): 75-77. doi: 10.3969/j.issn.1006-6411.2019.09.036
    [19]
    姬国华, 杨栋, 张邢炜, 等. 16例房颤患者左心耳封堵术的围手术期护理及随访[J]. 中华全科医学, 2015, 13(11): 1861-1863. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY201511047.htm
    [20]
    袁龙会. 医生指导下护理干预对房颤射频消融围术期管理及随访的影响[J]. 现代医药卫生, 2015, 31(20): 3152-3154. doi: 10.3969/j.issn.1009-5519.2015.20.044
    [21]
    赵秋娥, 卢振产, 沈轶倩, 等. 循证护理对急性脑梗死并发高血压患者神经功能及自我护理能力的影响[J]. 中华全科医学, 2020, 18(11): 1966-1969. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202011046.htm
    [22]
    郭辉, 沙丽艳, 蒲丛珊, 等. "互联网+"应用于术后患者延续性护理的研究进展[J]. 中国护理管理, 2019, 19(7): 1045-1049. doi: 10.3969/j.issn.1672-1756.2019.07.018
    [23]
    庄婧, 孙国珍, 王琳, 等. 耳穴埋籽对房颤射频消融术后胃肠道症状的干预效果研究[J]. 实用临床医药杂志, 2017, 21(8): 166-167. https://www.cnki.com.cn/Article/CJFDTOTAL-XYZL201708049.htm
    • 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

    Tables(7)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (253) PDF downloads(2) 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