Yıl: 2014 Cilt: 42 Sayı: 5 Sayfa Aralığı: 444 - 449 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Assessment of the influence of radiofrequency catheter ablation of the slow pathway of the atrioventricular node on cardiac function in patients with atrioventricular nodal reentrant tachycardia: a speckle tracking echocardiography study

Öz:
Amaç: Tipik atriyoventriküler nodal reenteran taşikardiler (AVNRT) yavaş yolağın ablasyonu ile tedavi edilebilir. Bu çalışmanın amacı benek takip ekokardiyografisi kullanarak tipik AVNRT nedeniyle radyofrekans ablasyonu tedavisi uygulanan hastalarda atriyum ve ventrikül fonksiyonlarının değişiminin değerlendirilmesidir.Çalışma planı: Semptomlu ilaca direçli tipik AVNRTsi olan ve girişimsel elektrofizyolojik çalışma ve radyofrekans ablasyonu uygulanan 23 ardışık hasta çalışmaya dahil edildi. Hastalara işlemden 24 saat önce işlemden 24 saat sonra transtorasik ekokardiyografi yapıldı.Bulgular: Bütün hastalarda elektrofizyolojik çalışmada AVNRT uyarıldı. Bütün hastalarda (n=23, %100) radyofrekans abalsyonu ile taşikardi başarılı şekilde tedavi edildi. Ablasyon öncesi döneme göre AH aralığı ablasyon sonrası dönemde anlamlı olarak azaldı ve ileti problemi görülmedi. Tepe sol atriyum düzlemsel gerilimi ablasyon sonrası dönemde ablasyon öncesi döneme göre anlamlı derecede arttı (48.24±16.45 ve 38.07±15.72, p<0.001). Sol atriyum-septum elektromekanik eşleşmesi işlem sonrası anlamlı olarak azaldı (48.90±12.26 vs. 38.92±7.14 ms, p=0.036).Sonuç: Atriyoventriküler nodal reenteran taşikardilerin radyofrekans kateter ablasyonu, aritminin tedavisi yanında sol atriyum fonksiyonlarını 24 saat kadar kısa bir süre içerisinde iyileştirebilir.
Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi

Atriyoventriküler nodal reenteran taşikardili hastalarda radyofrekans kateter ablasyonu ile atriyoventriküler düğümün yavaş yolağının yakılmasının kalp fonksiyonları üzerine etkisinin araştırılması: Bir benek takip ekokardiyografi çalışması

Öz:
Objectives: Typical atrioventricular nodal reentrant tachycar- dia (AVNRT) can be cured with slow pathway ablation. This study was designed to assess the alterations in atrial and ven- tricular functioning using speckle tracking echocardiography in consecutive patients with typical AVNRT who underwent slow pathway radiofrequency (RF) ablation. Study design: Included in this study were 23 consecutive patients with symptomatic drug-resistant typical (slow-fast) AVNRT, all of whom underwent an invasive electrophysiol- ogy study and RF ablation. Patients underwent transthoracic echocardiographic evaluation 24 hours before and 24 hours after the ablation procedure. Results: AVNRT was induced during the electrophysiologi- cal study, and RF ablation successfully eliminated tachyar- rhythmia in 23 (100%) patients. The atrial-His (A-H) interval was decreased in the post-ablation period compared to the pre-ablation period without the occurrence of immediate con- duction disturbances. Peak left atrial longitudinal strain dur- ing the reservoir phase was increased in the post-ablation period compared to the pre-ablation period (48.24±16.45 vs. 38.07±15.72, p<0.001). The left atrial septal electromechani- cal coupling time was significantly decreased after the proce- dure (48.90±12.26 vs. 38.92±7.14 ms, p=0.036). Conclusion: In addition to treatment of arrhythmia, RF cath- eter ablation of AVNRT may also restore left atrial function as early as 24 hours after the procedure.
Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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APA Yildiz M, AYKAN A, Karabay C, ÇAKAL B, Çakal S, KOCABAY G, KAHVECİ G, ŞAHİN A, Özkan M (2014). Assessment of the influence of radiofrequency catheter ablation of the slow pathway of the atrioventricular node on cardiac function in patients with atrioventricular nodal reentrant tachycardia: a speckle tracking echocardiography study. , 444 - 449.
Chicago Yildiz Mustafa,AYKAN Ahmet Çağrı,Karabay Can Yucel,ÇAKAL Beytullah,Çakal Sinem,KOCABAY Gönenç,KAHVECİ Gökhan,ŞAHİN ALPASLAN,Özkan Mehmet Assessment of the influence of radiofrequency catheter ablation of the slow pathway of the atrioventricular node on cardiac function in patients with atrioventricular nodal reentrant tachycardia: a speckle tracking echocardiography study. (2014): 444 - 449.
MLA Yildiz Mustafa,AYKAN Ahmet Çağrı,Karabay Can Yucel,ÇAKAL Beytullah,Çakal Sinem,KOCABAY Gönenç,KAHVECİ Gökhan,ŞAHİN ALPASLAN,Özkan Mehmet Assessment of the influence of radiofrequency catheter ablation of the slow pathway of the atrioventricular node on cardiac function in patients with atrioventricular nodal reentrant tachycardia: a speckle tracking echocardiography study. , 2014, ss.444 - 449.
AMA Yildiz M,AYKAN A,Karabay C,ÇAKAL B,Çakal S,KOCABAY G,KAHVECİ G,ŞAHİN A,Özkan M Assessment of the influence of radiofrequency catheter ablation of the slow pathway of the atrioventricular node on cardiac function in patients with atrioventricular nodal reentrant tachycardia: a speckle tracking echocardiography study. . 2014; 444 - 449.
Vancouver Yildiz M,AYKAN A,Karabay C,ÇAKAL B,Çakal S,KOCABAY G,KAHVECİ G,ŞAHİN A,Özkan M Assessment of the influence of radiofrequency catheter ablation of the slow pathway of the atrioventricular node on cardiac function in patients with atrioventricular nodal reentrant tachycardia: a speckle tracking echocardiography study. . 2014; 444 - 449.
IEEE Yildiz M,AYKAN A,Karabay C,ÇAKAL B,Çakal S,KOCABAY G,KAHVECİ G,ŞAHİN A,Özkan M "Assessment of the influence of radiofrequency catheter ablation of the slow pathway of the atrioventricular node on cardiac function in patients with atrioventricular nodal reentrant tachycardia: a speckle tracking echocardiography study." , ss.444 - 449, 2014.
ISNAD Yildiz, Mustafa vd. "Assessment of the influence of radiofrequency catheter ablation of the slow pathway of the atrioventricular node on cardiac function in patients with atrioventricular nodal reentrant tachycardia: a speckle tracking echocardiography study". (2014), 444-449.
APA Yildiz M, AYKAN A, Karabay C, ÇAKAL B, Çakal S, KOCABAY G, KAHVECİ G, ŞAHİN A, Özkan M (2014). Assessment of the influence of radiofrequency catheter ablation of the slow pathway of the atrioventricular node on cardiac function in patients with atrioventricular nodal reentrant tachycardia: a speckle tracking echocardiography study. Türk Kardiyoloji Derneği Arşivi, 42(5), 444 - 449.
Chicago Yildiz Mustafa,AYKAN Ahmet Çağrı,Karabay Can Yucel,ÇAKAL Beytullah,Çakal Sinem,KOCABAY Gönenç,KAHVECİ Gökhan,ŞAHİN ALPASLAN,Özkan Mehmet Assessment of the influence of radiofrequency catheter ablation of the slow pathway of the atrioventricular node on cardiac function in patients with atrioventricular nodal reentrant tachycardia: a speckle tracking echocardiography study. Türk Kardiyoloji Derneği Arşivi 42, no.5 (2014): 444 - 449.
MLA Yildiz Mustafa,AYKAN Ahmet Çağrı,Karabay Can Yucel,ÇAKAL Beytullah,Çakal Sinem,KOCABAY Gönenç,KAHVECİ Gökhan,ŞAHİN ALPASLAN,Özkan Mehmet Assessment of the influence of radiofrequency catheter ablation of the slow pathway of the atrioventricular node on cardiac function in patients with atrioventricular nodal reentrant tachycardia: a speckle tracking echocardiography study. Türk Kardiyoloji Derneği Arşivi, vol.42, no.5, 2014, ss.444 - 449.
AMA Yildiz M,AYKAN A,Karabay C,ÇAKAL B,Çakal S,KOCABAY G,KAHVECİ G,ŞAHİN A,Özkan M Assessment of the influence of radiofrequency catheter ablation of the slow pathway of the atrioventricular node on cardiac function in patients with atrioventricular nodal reentrant tachycardia: a speckle tracking echocardiography study. Türk Kardiyoloji Derneği Arşivi. 2014; 42(5): 444 - 449.
Vancouver Yildiz M,AYKAN A,Karabay C,ÇAKAL B,Çakal S,KOCABAY G,KAHVECİ G,ŞAHİN A,Özkan M Assessment of the influence of radiofrequency catheter ablation of the slow pathway of the atrioventricular node on cardiac function in patients with atrioventricular nodal reentrant tachycardia: a speckle tracking echocardiography study. Türk Kardiyoloji Derneği Arşivi. 2014; 42(5): 444 - 449.
IEEE Yildiz M,AYKAN A,Karabay C,ÇAKAL B,Çakal S,KOCABAY G,KAHVECİ G,ŞAHİN A,Özkan M "Assessment of the influence of radiofrequency catheter ablation of the slow pathway of the atrioventricular node on cardiac function in patients with atrioventricular nodal reentrant tachycardia: a speckle tracking echocardiography study." Türk Kardiyoloji Derneği Arşivi, 42, ss.444 - 449, 2014.
ISNAD Yildiz, Mustafa vd. "Assessment of the influence of radiofrequency catheter ablation of the slow pathway of the atrioventricular node on cardiac function in patients with atrioventricular nodal reentrant tachycardia: a speckle tracking echocardiography study". Türk Kardiyoloji Derneği Arşivi 42/5 (2014), 444-449.