Outcomes of Patients With Hypertrophic Obstructive Cardiomyopathy and Pacemaker Implanted After Alcohol Septal Ablation
Электронный научный архив УРФУ
Информация об архиве | Просмотр оригинала| Поле | Значение | |
| Заглавие |
Outcomes of Patients With Hypertrophic Obstructive Cardiomyopathy and Pacemaker Implanted After Alcohol Septal Ablation
|
|
| Автор |
Veselka, J.
Liebregts, M. Cooper, R. Faber, L. Januska, J. Kashtanov, M. Tesarkova, K. H. Hansen, P. R. Seggewiss, H. Shloydo, E. Popov, K. Hansvenclova, E. Bonaventura, J. Berg, J. T. Stables, R. H. Polakova, E. |
|
| Тематика |
ALCOHOL SEPTAL ABLATION
PERMANENT PACEMAKER PROGNOSIS ABLATION TECHNIQUES ATRIOVENTRICULAR BLOCK CARDIOMYOPATHY, HYPERTROPHIC ETHANOL HEART SEPTUM HUMANS PACEMAKER, ARTIFICIAL RETROSPECTIVE STUDIES TREATMENT OUTCOME ALCOHOL ADULT ALCOHOL SEPTAL ABLATION ALL CAUSE MORTALITY ARTICLE ATRIOVENTRICULAR BLOCK CLINICAL EXAMINATION COHORT ANALYSIS CONTROLLED STUDY FEMALE FOLLOW UP HEART BUNDLE BRANCH BLOCK HEART LEFT VENTRICLE EJECTION FRACTION HUMAN HYPERTROPHIC OBSTRUCTIVE CARDIOMYOPATHY INTERVENTRICULAR SEPTUM MAJOR CLINICAL STUDY MALE MIDDLE AGED MUSCLE RESECTION NEW YORK HEART ASSOCIATION CLASS OUTCOME ASSESSMENT PACEMAKER IMPLANTATION PROPENSITY SCORE SHARED DECISION MAKING SUDDEN CARDIAC DEATH ABLATION THERAPY ADVERSE EVENT ARTIFICIAL HEART PACEMAKER ATRIOVENTRICULAR BLOCK DIAGNOSTIC IMAGING HEART SEPTUM HYPERTROPHIC CARDIOMYOPATHY RETROSPECTIVE STUDY TREATMENT OUTCOME |
|
| Описание |
Background: Atrioventricular block is a frequent major complication after alcohol septal ablation (ASA). Objectives: The aim of this study was to evaluate the outcomes of patients with implanted permanent pacemaker (PPM) related to a high-grade atrioventricular block after ASA for hypertrophic obstructive cardiomyopathy. Methods: We used a multinational registry (the Euro-ASA registry) to evaluate the outcome of patients with PPM after ASA. Results: A total of 1,814 patients were enrolled and followed up for 5.0 ± 4.3 years (median = 4.0 years). A total of 170 (9.4%) patients underwent PPM implantation during the first 30 days after ASA. Using propensity score matching, 139 pairs (n = 278) constituted the matched PPM and non-PPM groups. Between the matched groups, there were no long-term differences in New York Heart Association functional class (1.5 ± 0.7 vs 1.5 ± 0.9, P = 0.99) and survival (log-rank P = 0.47). Patients in the matched PPM group had lower long-term left ventricular (LV) outflow gradient (12 ± 12 mm Hg vs 17 ± 19 mm Hg, P < 0.01), more pronounced LV outflow gradient decrease (81% ± 17% vs 72% ± 35%, P < 0.01), and lower LV ejection fraction (64% ± 8% vs 66% ± 8%, P = 0.02) and were less likely to undergo reintervention (re-ASA or myectomy) (log-rank P = 0.02). Conclusions: Patients with hypertrophic obstructive cardiomyopathy treated with ASA have a 9% probability of PPM implantation within 30 days after ASA. In long-term follow-up, patients with PPM had similar long-term survival and New York Heart Association functional class but lower LV outflow gradient, a more pronounced LV outflow gradient decrease, a lower LV ejection fraction, and a lower likelihood of reintervention compared with patients without PPM. © 2022 American College of Cardiology Foundation
|
|
| Дата |
2024-04-22T15:53:44Z
2024-04-22T15:53:44Z 2022 |
|
| Тип |
Article
Journal article (info:eu-repo/semantics/article) Published version (info:eu-repo/semantics/publishedVersion) |
|
| Идентификатор |
Veselka, J, Liebregts, M, Cooper, R, Faber, L, Januska, J, Kashtanov, M, Tesarkova, KH, Hansen, PR, Seggewiss, H, Shloydo, E, Popov, K, Hansvenclova, E, Bonaventura, J, Berg, JT, Stables, RH & Polakova, E 2022, 'Outcomes of Patients With Hypertrophic Obstructive Cardiomyopathy and Pacemaker Implanted After Alcohol Septal Ablation', JACC: Cardiovascular Interventions, Том. 15, № 19, стр. 1910-1917. https://doi.org/10.1016/j.jcin.2022.06.034
Veselka, J., Liebregts, M., Cooper, R., Faber, L., Januska, J., Kashtanov, M., Tesarkova, K. H., Hansen, P. R., Seggewiss, H., Shloydo, E., Popov, K., Hansvenclova, E., Bonaventura, J., Berg, J. T., Stables, R. H., & Polakova, E. (2022). Outcomes of Patients With Hypertrophic Obstructive Cardiomyopathy and Pacemaker Implanted After Alcohol Septal Ablation. JACC: Cardiovascular Interventions, 15(19), 1910-1917. https://doi.org/10.1016/j.jcin.2022.06.034 1936-8798 Final All Open Access; Bronze Open Access https://doi.org/10.1016/j.jcin.2022.06.034 https://doi.org/10.1016/j.jcin.2022.06.034 http://elar.urfu.ru/handle/10995/132486 10.1016/j.jcin.2022.06.034 85138367372 879070600005 |
|
| Язык |
en
|
|
| Права |
Open access (info:eu-repo/semantics/openAccess)
publisher-specific-oa |
|
| Формат |
application/pdf
|
|
| Издатель |
Elsevier Inc.
|
|
| Источник |
JACC: Cardiovascular Interventions
JACC: Cardiovascular Interventions |
|