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The effect of different power radiofrequency ablations in treatment and postoperative pain in patients with atrial fibrillation: a retrospective study.
Chen, Yu; Jin, Jianhao; Zhu, Li; Zhang, Yuxia; Wei, Changlin; Yang, Qihang; Yao, Liang.
Afiliación
  • Chen Y; School of Nursing, Fudan University, Shanghai, China.
  • Jin J; Department of Cardiology, Zhongshan Hospital of Fudan University, Shanghai, China.
  • Zhu L; Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai, China.
  • Zhang Y; Department of Cardiology, Zhongshan Hospital of Fudan University, Shanghai, China. zhu.li@zs-hospital.sh.cn.
  • Wei C; Shanghai Institute of Cardiovascular Diseases, National Clinical Research Center for Interventional Medicine, Shanghai, China. zhu.li@zs-hospital.sh.cn.
  • Yang Q; Nursing Department, Zhongshan Hospital of Fudan University, Shanghai, China. zhang.yuxia@zs-hospital.sh.cn.
  • Yao L; Department of Cardiology, Zhongshan Hospital of Fudan University, Shanghai, China.
BMC Cardiovasc Disord ; 24(1): 478, 2024 Sep 09.
Article en En | MEDLINE | ID: mdl-39251900
ABSTRACT

BACKGROUND:

There has been no consensus on what power of radiofrequency energy can be used to produce the best surgical results in patients with atrial fibrillation. In addition, patients undergoing local anesthesia and fentanyl analgesia may experience pain when radiofrequency ablation is performed. This study investigated the effect of different power radiofrequency ablations in treatment and postoperative pain in patients with atrial fibrillation.

METHODS:

A retrospective study was performed with 60 patients who underwent radiofrequency ablation for atrial fibrillation between January and June 2023. Patients were divided into 2 groups according to the power of the radiofrequency ablation catheter used, with 30 patients in the conventional power group (35 W) and 30 patients in the high-power group (50 W). The cardiac electrophysiological indexes and postoperative pain of the 2 groups were compared.

RESULTS:

Most of the procedural key parameters between the 2 groups had no significant differences. However, the total application time during radiofrequency ablation and pulmonary vein isolation time in the high-power group were significantly shorter than those in the conventional power group (p < 0.001). Patients in the high-power group reported significantly less pain than those in the conventional power group in the immediate postoperative period and the late postoperative period (p < 0.001).

CONCLUSIONS:

High-power radiofrequency ablation showed a shorter treatment time, and could reduce postoperative pain compared to conventional power ablation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Fibrilación Atrial / Ablación por Catéter Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Cardiovasc Disord Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Dolor Postoperatorio / Fibrilación Atrial / Ablación por Catéter Límite: Aged / Female / Humans / Male / Middle aged Idioma: En Revista: BMC Cardiovasc Disord Asunto de la revista: ANGIOLOGIA / CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: China Pais de publicación: Reino Unido