Iranian Journal of War and Public Health
طب جانباز
Iran J War Public Health
Medical Sciences
http://ijwph.ir
153
ijwph
2008-2622
2008-2630
10.58209/ijwph
en
jalali
1400
3
1
gregorian
2021
6
1
13
2
online
1
fulltext
en
Effectiveness of Left-Sided Surgical Ablation for Patients with Atrial Fibrillation Concomitant with Cardiac Surgery
تشخیص و درمان بیماریهای جانبازان يا معلولان
Diagnosis and Treatment of Veterans or Handicapped Diseases
پژوهشی اصيل
Original Research
<div style="text-align: justify;"><strong>Aims:</strong> Atrial fibrillation (AF) is one of the most common heart rhythm disorders. The study aimed to identify the effectiveness of surgical ablation of the atrial fibrillation substrate in cardiac surgery.<br>
<strong>Materials & Methods:</strong> From January 1, 2016, to July 1, 2019, 46 procedures of left atrial surgical ablation of the atrial fibrillation substrate were performed in patients with paroxysmal, persistent, and long-lasting persistent AF based on the State Institution "Scientific and Practical Medical Centre of Pediatric Cardiology and Cardiac Surgery of the Ministry of Health of Ukraine". The control group consisted of 23 studied patients.<br>
<strong>Findings:</strong> In most patients, recovery and retention of the sinus rhythm were observed throughout the entire time after the surgical intervention. 25 (56.8%) such patients were registered after three months, 30 (68.2%) after six months, 28 (63.6%) patients retained a sinus rhythm 12 months later and as a result of further observations. 7 (15.9%) patients have a persistent AF, 5 (11.4%) patients have a typical atrial flutter, 1 (2.2%) was diagnosed with a rhythm disorder in the form of left atrial flutter, 1 (2.2%) – with a persistent multi-focal atrial tachycardia. During the first 3-6 months after the procedure, some patients have recurrent AF. 15% of patients require restoration of the sinus rhythm by electro cardioversion and consultation of an arrhythmology-electrophysiologist to select antiarrhythmic therapy.<br>
<strong>Conclusion: </strong>The rationality and effectiveness of surgical ablation of the atrial fibrillation substrate in cardiac surgery were determined.</div>
Disorders,Heart Failure,Surgical Procedure,Heart,
163
170
http://ijwph.ir/browse.php?a_code=A-10-1825-1&slc_lang=en&sid=1
O.
Shepetko-Dombrovska
15300319475328460023840
15300319475328460023840
Yes
Department of Adult Cardiac Surgery, Clinic for Adults, Scientific-Practical Medical Center for Pediatric Cardiology and Cardiac Surgery, Kyiv, Ukraine
S.
Varbanets
15300319475328460023841
15300319475328460023841
No
Department of Adult Cardiac Surgery, Clinic for Adults, Scientific-Practical Medical Center for Pediatric Cardiology and Cardiac Surgery, Kyiv, Ukraine
M.
Meshkova
15300319475328460023842
15300319475328460023842
No
Department of Electrophysiology, Clinic for Adults, Scientific-Practical Medical Center for Pediatric Cardiology and Cardiac Surgery, Kyiv, Ukraine
S.
Mokhnatyi
15300319475328460023843
15300319475328460023843
No
Department of Emergency Surgery, Clinic for Adults, Scientific-Practical Medical Center for Pediatric Cardiology and Cardiac Surgery, Kyiv, Ukraine
Y.
Marushko
15300319475328460023844
15300319475328460023844
No
Department of Interventional Cardiology, Clinic for Adults, Scientific-Practical Medical Center for Pediatric Cardiology and Cardiac Surgery, Kyiv, Ukraine
V.
Neshva
15300319475328460023845
15300319475328460023845
No
Department of Adult Cardiac Surgery, Clinic for Adults, Scientific-Practical Medical Center for Pediatric Cardiology and Cardiac Surgery, Kyiv, Ukraine
N.
Rudenko
15300319475328460023846
15300319475328460023846
No
Department of Pediatric Cardiology and Cardiac Surgery, Clinic for Adults, Scientific-Practical Medical Center for Pediatric Cardiology and Cardiac Surgery, Kyiv, Ukraine