TY  - JOUR
T1  - Assessment of the Relationship Between Waist Circumference as an Anthropometrical Indicator of Central Obesity and Fluoroscopic Exposure Time in Different Gender Patients Who Underwent Radiofrequency Catheter Ablation Due to Antiarrhythmic Drug-Refractory Tachycardia: a Multicenter Study
TT  - Anti-Aritmik İlaçlara Dirençli Taşikardi Nedeni ile Radyofrekans Kateter Ablasyon Uygulanan Hastalarda Santral Obezitenin Antropometrik Bir Ölçütü Olarak Bel Çevresi ile Floroskopi Maruziyet Süresi Arasındaki İlişkinin Değerlendirilmesi: Çok Merkezli Çalışma
AU  - Yıldız, Mustafa
AU  - Aykan, Ahmet Çağrı
AU  - Tanboğa, Halil İbrahim
AU  - Gökdeniz, Tayyar
AU  - Sevimli, Serdar
AU  - Şahin, Alparslan
AU  - Haberal, İsmail
PY  - 2017
DA  - August
JF  - Koşuyolu Heart Journal
PB  - Kartal Koşuyolu Yüksek İhtisas EAH
WT  - DergiPark
SN  - 2149-2972
SP  - 98
EP  - 102
VL  - 20
IS  - 2
LA  - en
AB  - Introduction:Radiofrequencycatheter ablation therapy has been used to treat arrhythmia such assupraventricular and/or ventricular tachycardia. Increased waist circumferenceis important in assessing central obesity and may be an important factor forradiation injury. Therefore, this article describes the association betweenwaist circumference and fluoroscopic exposure time during cardiacradiofrequency catheter ablation procedures for symptomatic drug-resistanttachycardia.Patientsand Methods: From August 2011 to March 2015, 214 (136 women, 78 men)consecutive patients with symptomatic drug-resistant atrioventricular nodalre-entrant tachycardia (174 patients), atrioventricular re-entrant tachycardia(12 patients), Wolf-Parkinson-White syndrome (5 patients), atrial tachycardia(8 patients), atrial flutter (7 patients), right ventricular outflow tracttachycardia (5 patients), and atrial fibrillation (3 patients) underwent aninvasive electrophysiological study and radiofrequency catheter ablation. Thefluoroscopic exposure time, radiofrequency catheter ablation time, and waistcircumference were measured during the electrophysiological study.Results: Althoughage was significantly higher in women than in men, body weight, body height,waist circumference, and radiofrequency catheter ablation time weresignificantly higher in men than in women. There was a correlation betweenwaist circumference and fluoroscopic exposure time (p= 0.04, r= 0.13).Conclusion: The study showed thatthere was a positive correlation between waist circumference and fluoroscopicexposure time in patients with antiarrhythmic drug-refractory tachycardia whounderwent radiofrequency catheter ablation. This finding could help preventradiation injury, especially increased waist circumference duringradiofrequency catheter ablation.
KW  - Fluoroscopic exposure time
KW  - waist circumference
KW  - gender differences
KW  - tachycardia
KW  - radiofrequency catheter ablation
N2  - Giriş: Radyofrekans kateter ablasyon tedavisi supraventriküler ve/veyaventriküler aritmilerin tedavisinde kullanılmaktadır. Artmış bel çevresisantral obeziteyi değerlendirmede önemli bir yöntemdir, aynı zamanda radyasyonhasarı için de önemli bir faktör olabilir. Bu nedenle bu makale semptomatikilaca dirençli taşikardi nedeni ile yapılan kardiyak radyofrekans kateterablasyonu sırasındaki floroskopi maruziyet süresi ile bel çevresi arasındakiilişkiyi irdelemektedir.Hastalar ve Yöntem: Ağustos 2011 ila Mart 2015tarihleri arasında semptomatik ilaca dirençli; atriyoventriküler nodalre-entran taşikardi (174 hasta), atriyoventriküler re-entran taşikardi (12hasta), Wolf Parkinson White sendromu (5 hasta), atriyal taşikardi (8 hasta),atriyal flutter (7 hasta), sağ ventriküler çıkış yolu taşikardisi (5 hasta),atriyal fibrilasyon (3 hasta) nedenleri ile invaziv elektrofizyolojik çalışmave radyofrekans ablasyon uygulanan 214 (136 kadın, 78 erkek) ardışık hastaçalışmaya dahil edildi. Floroskopi maruziyet süresi, radyofrekans ablasyonzamanı ve bel çevresi işlem sırasında ölçüldü.Bulgular: Kadınların yaşı anlamlı olarak erkeklerden yüksek olsada vücut ağrılığı, boy, bel çevresi ve radyofrekans ablasyon süresi erkeklerdekadınlara göre daha anlamlı olarak yüksekti. Bel çevresi ile floroskopimaruziyet süresi arasında bir korelasyon mevcuttu (p= 0.04, r= 0.13).Sonuç: Çalışmamız göstermiştirki,antiaritmik ilaç dirençli taşikardi nedenli radyofrekans kateter ablasyonuygulanan hastalarda floroskopi maruziyet süresi ile bel çevresi arasındapozitif bir korelasyon mevcuttur. Bu bulgu özellikle artmış bel çevresi olan hastalardaradyofrekans kateter ablasyon sırasında radyasyon hasarını önlemek için faydalıolabilir.
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UR  - https://dergipark.org.tr/tr/pub/khj/article/496683
L1  - https://dergipark.org.tr/tr/download/article-file/595909
ER  -