دورية أكاديمية
Cardiac sympathetic denervation for refractory ventricular arrhythmias in patients with structural heart disease: A systematic review.
| العنوان: | Cardiac sympathetic denervation for refractory ventricular arrhythmias in patients with structural heart disease: A systematic review. |
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| المؤلفون: | Shah R; Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. Electronic address: rushilnshah@gmail.com., Assis F; Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland., Alugubelli N; Division of Internal Medicine, Medstar Union Memorial Hospital, Baltimore, Maryland., Okada DR; Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland., Cardoso R; Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland., Shivkumar K; UCLA Cardiac Arrhythmia Center, University of California, Los Angeles, California., Tandri H; Division of Cardiology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland. |
| المصدر: | Heart rhythm [Heart Rhythm] 2019 Oct; Vol. 16 (10), pp. 1499-1505. Date of Electronic Publication: 2019 Jun 25. |
| نوع المنشور: | Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Systematic Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Country of Publication: United States NLM ID: 101200317 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1556-3871 (Electronic) Linking ISSN: 15475271 NLM ISO Abbreviation: Heart Rhythm Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Elsevier, c2004- |
| مواضيع طبية MeSH: | Heart Diseases/*epidemiology , Sympathectomy/*methods , Tachycardia, Ventricular/*epidemiology , Tachycardia, Ventricular/*surgery, Aged ; Comorbidity ; Female ; Heart Diseases/diagnostic imaging ; Heart Diseases/physiopathology ; Humans ; Male ; Middle Aged ; Postoperative Complications/epidemiology ; Postoperative Complications/physiopathology ; Prognosis ; Recurrence ; Risk Assessment ; Survival Rate ; Sympathectomy/adverse effects ; Tachycardia, Ventricular/diagnostic imaging ; Treatment Outcome |
| مستخلص: | Background: Cardiac sympathetic denervation (CSD) is an important adjunctive option for patients with refractory ventricular arrhythmias (VAs). Reports of efficacy of CSD in patients with structural heart disease (SHD) and refractory VA vary widely in literature. Objective: The purpose of this study was to conduct a systematic review of arrhythmic outcomes and complications in patients with SHD who underwent CSD due to recurrent VAs. Methods: Electronic databases (Google Scholar and PubMed) were searched to identify reports on CSD in SHD using appropriate medical subject terms. No sample size restriction was applied. All patients with known channelopathies were excluded. Baseline demographic and surgical data, arrhythmic outcomes, and procedural complications were evaluated. Results: A total of 13 studies and 173 patients were included. Of the 173 patients (121 [70%] male); pooled mean age 54.6 [95% confidence interval 52.6-56.7] years), 48 (28%) had ischemic cardiomyopathy, and 141 (82%) underwent bilateral CSD. Overall freedom from events ranged from 58% to 100%. Complications were reported in 49 patients(28%). Transient hypotension (9%), pneumothorax (5%), neuropathic pain (skin sensitivity) (4%), Horner syndrome (3%), sweating pattern changes (3%), and hemothorax (2%) were the most common complications. No procedure-related deaths were reported. Conclusion: CSD reduced the number of VA events in patients with SHD, and the benefit from the intervention seemed to be independent of the underlying SHD. Although overall rate of postprocedural complications was high, most of the complications were temporary. Major postprocedural complications after CSD were infrequent. (Copyright © 2019 Heart Rhythm Society. Published by Elsevier Inc. All rights reserved.) |
| معلومات مُعتمدة: | OT2 OD023848 United States OD NIH HHS |
| فهرسة مساهمة: | Keywords: Cardiac sympathetic denervation; Ischemic cardiomyopathy; Nonischemic cardiomyopathy; Refractory ventricular arrhythmias; Structural heart disease |
| تواريخ الأحداث: | Date Created: 20190629 Date Completed: 20201201 Latest Revision: 20201201 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.hrthm.2019.06.018 |
| PMID: | 31252084 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1556-3871 |
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| DOI: | 10.1016/j.hrthm.2019.06.018 |