PO-05-095 GENDER DIFFERENCES AND SAFETY OUTCOMES AFTER CATHETER ABLATION OF VENTRICULAR TACHYCARDIA
نویسندگان
چکیده
Female patients are largely underrepresented in clinical studies pertaining to ventricular tachycardia (VT) ablation. Conflicting data exists on outcomes after catheter ablation of different arrhythmias however sparse the role gender safety and complication VT. To evaluate differences tachycardia. Data used study was obtained from National inpatient sample database for years 2016-2019. We identified patient >18 old who were diagnosed with as a primary diagnosis underwent during index hospitalization. compared demographics hospital population based gender. The outcome all cause mortality secondary transferred rehab, length his stay in-hospital complications. Univariate analysis compare between genders. A total 24,280 included our analysis, 19% female 81% male. Male had significantly higher comorbidities including incidence chronic kidney disease, obstructive pulmonary congestive heart failure, coronary artery bypass graft, diabetes, sleep apnea, peripheral vascular disease smoking history. pericardial effusion (5.4% versus 3.0%, p-value 0.002) tamponade (2.6% 1.3%, 0.02) noted patients. No other complications both groups. Discharge rehab center male (8.2% 4.6%, P value 0.0012) also at 6.83 days 5.59 (p-value 0.01). difference genders rate 2.5% females 2.9% males 0.53). Catheter procedure VT appears be safe irrespective In this large nationwide study, found have rates However, no observed.Tabled 1FemaleMaleP-ValueTotal number patients465519625ComplicationsBleeding0.310.20.60Myocardial infarction3.84.40.42Pericardial effusion5.43.00.002Pericardiocentesis0.20.10.51Pericarditis0.50.330.43Respiratory failure0.90.70.55Tamponade2.61.30.02OutcomesDischarge Rehab4.68.20.0012Hospital Length Stay5.596.830.01Mortality2.52.90.53 Open table new tab
منابع مشابه
Catheter ablation of ventricular tachycardia.
Ventricular tachycardia (VT) most commonly develops in patients with structural heart disease. Myocardial infarction results in collagen replacement interspersed with surviving myocardium, which alters impulse propagation, facilitating re-entry.1 Aside from the postinfarction substrate, scar-mediated VT occurs in patients with nonischemic cardiomyopathy, Chagas disease, sarcoidosis, arrhythmoge...
متن کاملCatheter ablation for ventricular tachycardia.
Sustained ventricular tachycardia (VT) is an important cause of morbidity and sudden death in patients with heart disease.1 Implantable cardioverter-defibrillators (ICDs) terminate VT episodes, reducing the risk of sudden death. Recurrent VT develops in 40% to 60% of patients who receive an ICD after an episode of spontaneous sustained VT. A first episode of VT occurs in 20% of patients within ...
متن کاملRadiofrequency catheter ablation of ventricular tachycardia after myocardial infarction.
BACKGROUND Patients with ventricular tachycardia (VT) after myocardial infarction often have multiple morphologies of inducible VT, which complicates mapping and is viewed by some as a relative contraindication to ablation. Attempting to identify and target a single "clinical" VT is often limited by inability to obtain 12-lead ECGs of VTs that are terminated emergently or by defibrillators. Thi...
متن کاملCatheter Ablation of Fascicular Ventricular Tachycardia
Fascicular ventricular tachycardia (VT) is an idiopathic VT with right bundle branch block morphology and left-axis deviation occuring predominantly in young males. Fascicular tachycardia has been classified into three subtypes namely, left posterior fascicular VT, left anterior fascicular VT and upper septal fascicular VT. The mechanism of this tachycardia is believed to be localized reentry c...
متن کاملCatheter Ablation of Fascicular Ventricular Tachycardia
Fascicular ventricular tachycardia (VT) is an idiopathic VT with right bundle branch block morphology and left-axis deviation occuring predominantly in young males. Fascicular tachycardia has been classified into three subtypes namely, left posterior fascicular VT, left anterior fascicular VT and upper septal fascicular VT. The mechanism of this tachycardia is believed to be localized reentry c...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Heart Rhythm
سال: 2023
ISSN: ['1556-3871', '1547-5271']
DOI: https://doi.org/10.1016/j.hrthm.2023.03.1346