Evidence map›Paper›PMID 39585714›Full record

ArticleAnatolian journal of cardiology2024

Radiofrequency Ablation for Patients with Hypertrophic Obstructive Cardiomyopathy Accompanied by Severe Left Ventricular Outflow Tract Obstruction.

Lu Xu, Chenglong Miao, Pin Wang, Yanwei Wang, Jue Wang, Ru Xing, Suyun Liu, Ruining Zhang, Yan Jia, Bingyan Guo

Abstract read
In one paragraph

Article in Anatolian journal of cardiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Lu XuDepartment of Cardiovascular Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Chenglong MiaoDepartment of Cardiovascular Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Pin WangDepartment of Cardiovascular Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Yanwei WangDepartment of Cardiovascular Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Jue WangDepartment of Cardiovascular Medicine, Beijing Anzhen Hospital, Capital Medical University and National Clinical Research Center for Cardiovascular Diseases, Beijing, China.
Ru XingDepartment of Cardiovascular Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Suyun LiuDepartment of Cardiovascular Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Ruining ZhangDepartment of Cardiovascular Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Yan JiaDepartment of Cardiovascular Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Bingyan GuoDepartment of Cardiovascular Medicine, The Second Hospital of Hebei Medical University, Shijiazhuang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with hypertrophic obstructive cardiomyopathy (HOCM) have few available nonsurgical treatment options. The feasibility of CARTOSound-guided catheter radiofrequency ablation (RFA) has been reported previously; however, relevant data are limited. The objective is to retrospectively evaluate the effectiveness and safety of CARTOSound-guided RFA for patients with HOCM.

methodsThirty-seven patients with successive HOCM accompanied by severe left ventricular outflow tract (LVOT) obstruction underwent CARTOSound-guided RFA were reviewed. The intracardiac echocardiography (ICE) images obtained were merged with the CARTO system to create a shell of the left ventricle. The systolic anterior motion-septal contact area marked from the ICE images was considered the target area for the current delivery of RFA. Follow-up data of the LVOT gradient examined before, 1 month, 6 months, 1 year, and every year after catheter-mediated RFA were accessed.

resultsThe symptoms of 30 patients (81.1%) improved during the follow-up after RFA. The symptoms of all 30 patients were alleviated from the New York Heart Association (NYHA) class IV/III/II to the NYHA class II/I. A sustained and significant gradient reduction was observed in 28 patients (75.7%). The invasive pressure gradient of LVOT was 84.43 ± 27.55 mm Hg before RFA and 42.78 ± 36.38 mm Hg after RFA (P < .001), with a decrease of 41.65 ± 19.72 mm Hg. The median drop in pressure gradient was 36.0% (1.0-67.0%).

conclusionsCatheter-mediated RFA is an effective and safe treatment for patients with HOCM. However, its long-term efficacy and safety should be validated in the future by conducting multicenter clinical trials with large sample sizes.

Indexed as

Cardiomyopathy, HypertrophicCatheter AblationVentricular Outflow ObstructionAdultAgedEchocardiographyFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeVentricular Outflow Obstruction, Left

Identifiers

PMID39585714
PMCPMC11633787

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