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بررسی نتايج و عوارض زودرس مطالعات الکتروفيزيولوژيک و درمان با ...

بررسی نتايج و عوارض زودرس مطالعات الکتروفيزيولوژيک و درمان با ...

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Quarterly of the Horizon of Medical SciencesVol. 18, No. 5 (Supplement), Win 2013Pages: 248-253Evaluation of Hospital Outcome and Early Complications ofElectrophysiological Studies and Ablation Therapy in Mashhadin 1385-1387Hassanzadeh Delui M. * MD, Heidari Bakavoli AR. 1 MD, Salari E. 2 GP, Shakeri MT. 3 MD, Oraei Ghoddoosi F. 4 BSc* Associated Professor, Cardiovascular Research Center, Ghaem Hospital, School of Medicine, Mashhad University of MedicalSciences, Mashhad, Iran.1 Assistant Professor, Cardiovascular Research Center, Ghaem Hospital, School of Medicine, Mashhad University of MedicalSciences, Mashhad, Iran.2 General Medicine, Cardiovascular Research Center, Ghaem Hospital, School of Medicine, Mashhad University of MedicalSciences, Mashhad, Iran.3 Associated Professor, Department of Community Medicine, School of Medicine, Mashhad University of Medical Sciences,Mashhad, Iran.4 BSc in Microbiology, Cardiovascular Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad,Iran.AbstractAims: Clinical cardiac electrophysiology is a cardiac study and it is one of care of cardiacarrhythmias aspects.Catheter ablation has become the first diagnosis and treatment choice for patients withventricular arrhythmias, atrial flutter, and supraventricular tachycardia and the ventricular.Methods: In This retrospective study, all of the documentations in electrophysiologydepartment of one of Mashhad hospitals during (2006-2008) were evaluated.Results: In total 110 patients were undergoing diagnostic electrophysiology studies. The mostcommon reason for electrophysiology was palpitation with 36/4%.In 48.2% of cases, the result of electrophysiology (EPS) was negative. In 19.1% patients, itcaused Ablation and in 12.7% the diagnosis was SSS. According to the results 9.1% ventriculartachycardia (VT), 9.1% AV conduction disorder and for 1.8% of cases super ventriculartachycardia (SVT) were reported. Complication occurred in 1.8% of cases.In the ablation study there were 131 men and 288 women. The mean age of patients was46±15. The most common complaint of patients was palpitation (97.1%).Typical AV reentrant tachycardia (AVNRT) with frequency of 280 cases was the mostcommon diagnosis. The overall success rate of ablation was 93.6%. The most commoncomplication was AV block in 2.4%. There was no significant relationship between sex andComplications and between age and treatment results (p>0/05).Conclusion: According to the overall success rate of ablation study (93.6%) and thecomplication rate of 3.8%, we could suggested that ablation is an effective and low risk way inthe treatment of cardiac arrhythmias.Keywords: Electrophysiological study - Ablation-Arrhythmia* Correspanding Author: All requests Should be sent to hasanzadedaloeem@mums.ac.irReceived: Jan 2012 Accepted: Mar 2013


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