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252205

Effect of Radiofrequency Current Application during Catheter Ablation on Heart Rate Variability in Patients with Supraventricular Tachycardia

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Last updated: 24 Dec 2024

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Abstract

Background: To a large extent, the heart's functions are influenced by the autonomic nervous system involving hemodynamics, properties of cardiac conduction, heart rate (HR), as well as cardiac myocytes cell functions, and cardiac arrhythmogenesis. In the present study, heart rate variability (HRV) was evaluated in patients receiving radiofrequency catheter ablation for supraventricular tachycardias to determine if there was a correlation between the amount of radiofrequency current used and the HRV change. Patient and Methods: For this one-arm clinical trial, 60 patients with drug-resistant supraventricular tachycardias were recruited; they underwent radiofrequency ablation and were followed up for 6 months after the procedure. Results: Compared with pre-ablation data, at the follow-up evaluation after radiofrequency ablation, HRV were found to be shorter. Results from a 24-hour Holter monitor showed an increase in mean HR, whereas HRV parameters such as time domain indices (SDNN, rMSSD) and frequency domain index, which reflect the attenuation of parasympathetic tone, were reduced in the follow-up at 1 month and 6 months post-ablation. 30 patients, or 50%, had a high sinus rate 6 months after ablation. Compared to patients without AV nodal modification or postero-septal accessory pathway ablation, HRV changes were more pronounced in those with these procedures. Conclusion: Six months following radiofrequency ablation, cardiac autonomic dysfunction was still evident when measured by alterations in time domain and frequency domain HR variability measures. Perhaps one cause of parasympathetic denervation is its role in post-ablation sinus rate.  

DOI

10.21608/ejhm.2022.252205

Keywords

Radiofrequency ablation, Catheter ablation, Heart Rate Variability, Supraventricular Tachycardia, Post ablation high sinus rate

Authors

First Name

Nashaat Lotfy

Last Name

Ramzy

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Rania Samir

Last Name

Ahmed

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Hayam Mohammed

Last Name

Eldamnhoury

MiddleName

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Affiliation

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Email

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City

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Orcid

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First Name

Emad

Last Name

Fakhry

MiddleName

Effat

Affiliation

Faculty of Medicine, Ain Shams University

Email

emad_effat@med.asu.edu.eg

City

-

Orcid

0000-0002-8993-4250

Volume

88

Article Issue

1

Related Issue

33970

Issue Date

2022-07-01

Receive Date

2022-07-31

Publish Date

2022-07-01

Page Start

3,790

Page End

3,797

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_252205.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=252205

Order

243

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Effect of Radiofrequency Current Application during Catheter Ablation on Heart Rate Variability in Patients with Supraventricular Tachycardia

Details

Type

Article

Created At

22 Jan 2023