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
Öz
Introduction:
Radiofrequency
catheter ablation therapy has been used to treat arrhythmia such as
supraventricular and/or ventricular tachycardia. Increased waist circumference
is important in assessing central obesity and may be an important factor for
radiation injury. Therefore, this article describes the association between
waist circumference and fluoroscopic exposure time during cardiac
radiofrequency catheter ablation procedures for symptomatic drug-resistant
tachycardia.
Patients
and Methods: From August 2011 to March 2015, 214 (136 women, 78 men)
consecutive patients with symptomatic drug-resistant atrioventricular nodal
re-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 tract
tachycardia (5 patients), and atrial fibrillation (3 patients) underwent an
invasive electrophysiological study and radiofrequency catheter ablation. The
fluoroscopic exposure time, radiofrequency catheter ablation time, and waist
circumference were measured during the electrophysiological study.
Results: Although
age was significantly higher in women than in men, body weight, body height,
waist circumference, and radiofrequency catheter ablation time were
significantly higher in men than in women. There was a correlation between
waist circumference and fluoroscopic exposure time (p= 0.04, r= 0.13).
Conclusion: The study showed that
there was a positive correlation between waist circumference and fluoroscopic
exposure time in patients with antiarrhythmic drug-refractory tachycardia who
underwent radiofrequency catheter ablation. This finding could help prevent
radiation injury, especially increased waist circumference during
radiofrequency catheter ablation.
Anahtar Kelimeler
Fluoroscopic exposure time waist circumference gender differences tachycardia radiofrequency catheter ablation
Kaynakça
- 1. Zipes DP, DiMarco JP, Gillette PC, Jackman WM, Myerburg RJ, Rahimtoola SH, et al. Guidelines for clinical intracardiac electrophysiological and catheter ablation procedures. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Clinical Intracardiac Electrophysiologic and Catheter Ablation Procedures), developed in collaboration with the North American Society of Pacing and Electrophysiology. J Am Coll Cardiol 1995;26:555-73.
- 2. McFadden SL, Mooney RB, Shepherd PH. X-ray dose and associated risks from radiofrequency catheter ablation procedures. Br J Radiol 2002;75:253-65.
- 3. Chan DC, Watts GF, Barrett PH, Burke V. Waist circumference, waist-to-hip ratio and body mass index as predictors of adipose tissue compartments in men. QJM 2003;96:441-7.
- 4. Ector J, Dragusin O, Adriaenssens B, Huybrechts W, Willems R, Ector H, et al. Obesity is a major determinant of radiation dose in patients undergoing pulmonary vein isolation for atrial fibrillation. J Am Coll Cardiol 2007;50:234-42.
- 5. Ding A, Mille MM, Liu T, Caracappa PF, Xu XG. Extension of RPI-adult male and female computational phantoms to obese patients and a Monte Carlo study of the effect on CT imaging dose. Phys Med Biol 2012;57:2441-59.
- 6. Chida K, Saito H, Otani H, Kohzuki M, Takahashi S, Yamada S, et al. Relationship between fluoroscopic time, dose-area product, body weight, and maximum radiation skin dose in cardiac interventional procedures. AJR Am J Roentgenol 2006;186:774-8.
- 7. Berlin L. Radiation-induced skin injuries and fluoroscopy. AJR Am J Roentgenol 2001;177:21-5.
- 8. Wagner LK, McNeese MD, Marx MV, Siegel EL. Severe skin reactions from interventional fluoroscopy: case report and review of the literature. Radiology 1999;213:773-6.
- 9. Brown KR, Rzucidlo E. Acute and chronic radiation injury. J Vasc Surg 2011;53(1 Suppl): S15-21.
- 10. Gerber TC, Carr JJ, Arai AE, Dixon RL, Ferrari VA, Gomes AS, et al. Ionizing radiation in cardiac imaging: a science advisory from the American Heart Association Committee on Cardiac Imaging of the Council on Clinical Cardiology and Committee on Cardiovascular Imaging and Intervention of the Council on Cardiovascular Radiology and Intervention. Circulation 2009;119:1056-65.
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
Öz
Giriş: Radyofrekans kateter ablasyon tedavisi supraventriküler ve/veya
ventriküler aritmilerin tedavisinde kullanılmaktadır. Artmış bel çevresi
santral obeziteyi değerlendirmede önemli bir yöntemdir, aynı zamanda radyasyon
hasarı için de önemli bir faktör olabilir. Bu nedenle bu makale semptomatik
ilaca dirençli taşikardi nedeni ile yapılan kardiyak radyofrekans kateter
ablasyonu sırasındaki floroskopi maruziyet süresi ile bel çevresi arasındaki
ilişkiyi irdelemektedir.
Hastalar ve Yöntem: Ağustos 2011 ila Mart 2015
tarihleri arasında semptomatik ilaca dirençli; atriyoventriküler nodal
re-entran taşikardi (174 hasta), atriyoventriküler re-entran taşikardi (12
hasta), 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 çalışma
ve radyofrekans ablasyon uygulanan 214 (136 kadın, 78 erkek) ardışık hasta
çalışmaya dahil edildi. Floroskopi maruziyet süresi, radyofrekans ablasyon
zamanı ve bel çevresi işlem sırasında ölçüldü.
Bulgular: Kadınların yaşı anlamlı olarak erkeklerden yüksek olsa
da vücut ağrılığı, boy, bel çevresi ve radyofrekans ablasyon süresi erkeklerde
kadınlara göre daha anlamlı olarak yüksekti. Bel çevresi ile floroskopi
maruziyet süresi arasında bir korelasyon mevcuttu (p= 0.04, r= 0.13).
Sonuç: Çalışmamız göstermiştirki,
antiaritmik ilaç dirençli taşikardi nedenli radyofrekans kateter ablasyon
uygulanan hastalarda floroskopi maruziyet süresi ile bel çevresi arasında
pozitif bir korelasyon mevcuttur. Bu bulgu özellikle artmış bel çevresi olan hastalarda
radyofrekans kateter ablasyon sırasında radyasyon hasarını önlemek için faydalı
olabilir.
Anahtar Kelimeler
Kaynakça
- 1. Zipes DP, DiMarco JP, Gillette PC, Jackman WM, Myerburg RJ, Rahimtoola SH, et al. Guidelines for clinical intracardiac electrophysiological and catheter ablation procedures. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee on Clinical Intracardiac Electrophysiologic and Catheter Ablation Procedures), developed in collaboration with the North American Society of Pacing and Electrophysiology. J Am Coll Cardiol 1995;26:555-73.
- 2. McFadden SL, Mooney RB, Shepherd PH. X-ray dose and associated risks from radiofrequency catheter ablation procedures. Br J Radiol 2002;75:253-65.
- 3. Chan DC, Watts GF, Barrett PH, Burke V. Waist circumference, waist-to-hip ratio and body mass index as predictors of adipose tissue compartments in men. QJM 2003;96:441-7.
- 4. Ector J, Dragusin O, Adriaenssens B, Huybrechts W, Willems R, Ector H, et al. Obesity is a major determinant of radiation dose in patients undergoing pulmonary vein isolation for atrial fibrillation. J Am Coll Cardiol 2007;50:234-42.
- 5. Ding A, Mille MM, Liu T, Caracappa PF, Xu XG. Extension of RPI-adult male and female computational phantoms to obese patients and a Monte Carlo study of the effect on CT imaging dose. Phys Med Biol 2012;57:2441-59.
- 6. Chida K, Saito H, Otani H, Kohzuki M, Takahashi S, Yamada S, et al. Relationship between fluoroscopic time, dose-area product, body weight, and maximum radiation skin dose in cardiac interventional procedures. AJR Am J Roentgenol 2006;186:774-8.
- 7. Berlin L. Radiation-induced skin injuries and fluoroscopy. AJR Am J Roentgenol 2001;177:21-5.
- 8. Wagner LK, McNeese MD, Marx MV, Siegel EL. Severe skin reactions from interventional fluoroscopy: case report and review of the literature. Radiology 1999;213:773-6.
- 9. Brown KR, Rzucidlo E. Acute and chronic radiation injury. J Vasc Surg 2011;53(1 Suppl): S15-21.
- 10. Gerber TC, Carr JJ, Arai AE, Dixon RL, Ferrari VA, Gomes AS, et al. Ionizing radiation in cardiac imaging: a science advisory from the American Heart Association Committee on Cardiac Imaging of the Council on Clinical Cardiology and Committee on Cardiovascular Imaging and Intervention of the Council on Cardiovascular Radiology and Intervention. Circulation 2009;119:1056-65.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Orijinal Araştırmalar |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Ağustos 2017 |
| Yayımlandığı Sayı | Yıl 2017 Cilt: 20 Sayı: 2 |
