Safety and efficacy in ablation of premature ventricular contraction: data from the German ablation registry
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Safety and efficacy in ablation of premature ventricular contraction: data from the German ablation registry. / Fichtner, S; Senges, J; Hochadel, M; Tilz, R; Willems, S; Eckardt, L; Deneke, T; Lewalter, T; Dorwarth, U; Reithmann, C; Brachmann, J; Steinbeck, G; Kääb, S; German Ablation Registry.
in: CLIN RES CARDIOL, Jahrgang 106, Nr. 1, 01.2017, S. 49-57.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Safety and efficacy in ablation of premature ventricular contraction: data from the German ablation registry
AU - Fichtner, S
AU - Senges, J
AU - Hochadel, M
AU - Tilz, R
AU - Willems, S
AU - Eckardt, L
AU - Deneke, T
AU - Lewalter, T
AU - Dorwarth, U
AU - Reithmann, C
AU - Brachmann, J
AU - Steinbeck, G
AU - Kääb, S
AU - German Ablation Registry
PY - 2017/1
Y1 - 2017/1
N2 - BACKGROUND: Patients with frequent premature ventricular contractions (PVCs) are often highly symptomatic with significantly reduced quality-of-life. We evaluated the outcome and success of PVC ablation in patients in the German Ablation Registry.METHODS: The German Ablation Registry is a nationwide prospective multicenter database of patients who underwent an ablation procedure, initiated by the "Stiftung Institut für Herzinfarktforschung" (IHF), Ludwigshafen, Germany. Data were acquired from March 2007 to May 2011. Patients underwent PVC ablation in the enrolling ablation centers.RESULTS: A total of 408 patients (age 53.5 ± 15 years, 55 % female) undergoing ablation for PVCs were included. 32 % of patients showed a co-existing structural heart disease. Acute ablation success of the procedure was 82 % in the overall patient group. In patients without structural heart disease, acute success was significantly higher compared with patients with structural heart disease (86 vs. 74 %, p = 0.002). All patients were discharged alive after a median of 3 days. No patient suffered an acute myocardial infarction, stroke, or major bleeding. After 12 months' follow-up, 99 % of patients were still alive showing a significant different mortality between patients with structural heart disease compared with those without (2.3 vs. 0 %, p = 0.012). In addition, 76 % of patients showed significantly improved symptoms after 12 months of follow-up.CONCLUSION: Based on the data from this registry, ablation of PVCs is a safe and efficient procedure with an excellent outcome and improved symptoms after 12 months.
AB - BACKGROUND: Patients with frequent premature ventricular contractions (PVCs) are often highly symptomatic with significantly reduced quality-of-life. We evaluated the outcome and success of PVC ablation in patients in the German Ablation Registry.METHODS: The German Ablation Registry is a nationwide prospective multicenter database of patients who underwent an ablation procedure, initiated by the "Stiftung Institut für Herzinfarktforschung" (IHF), Ludwigshafen, Germany. Data were acquired from March 2007 to May 2011. Patients underwent PVC ablation in the enrolling ablation centers.RESULTS: A total of 408 patients (age 53.5 ± 15 years, 55 % female) undergoing ablation for PVCs were included. 32 % of patients showed a co-existing structural heart disease. Acute ablation success of the procedure was 82 % in the overall patient group. In patients without structural heart disease, acute success was significantly higher compared with patients with structural heart disease (86 vs. 74 %, p = 0.002). All patients were discharged alive after a median of 3 days. No patient suffered an acute myocardial infarction, stroke, or major bleeding. After 12 months' follow-up, 99 % of patients were still alive showing a significant different mortality between patients with structural heart disease compared with those without (2.3 vs. 0 %, p = 0.012). In addition, 76 % of patients showed significantly improved symptoms after 12 months of follow-up.CONCLUSION: Based on the data from this registry, ablation of PVCs is a safe and efficient procedure with an excellent outcome and improved symptoms after 12 months.
KW - Adult
KW - Aged
KW - Catheter Ablation/adverse effects
KW - Electrocardiography
KW - Female
KW - Germany
KW - Humans
KW - Kaplan-Meier Estimate
KW - Male
KW - Middle Aged
KW - Postoperative Complications/etiology
KW - Registries
KW - Risk Factors
KW - Time Factors
KW - Treatment Outcome
KW - Ventricular Premature Complexes/diagnosis
U2 - 10.1007/s00392-016-1022-9
DO - 10.1007/s00392-016-1022-9
M3 - SCORING: Journal article
C2 - 27484499
VL - 106
SP - 49
EP - 57
JO - CLIN RES CARDIOL
JF - CLIN RES CARDIOL
SN - 1861-0684
IS - 1
ER -