Hostname: page-component-586b7cd67f-t8hqh Total loading time: 0 Render date: 2024-11-23T18:20:33.008Z Has data issue: false hasContentIssue false
  • English
  • Français

Quality of life assessment in children before and after a successful ablation for supraventricular tachycardia

Published online by Cambridge University Press:  18 February 2020

M Cecilia Gonzalez Corcia Open the ORCID record for M Cecilia Gonzalez Corcia [Opens in a new window] ,
Laura Peters ,
Thierry Sluysmans ,
Stephane Moniotte ,
Karlien Carbonez ,
Catherine Barrea ,
Christophe Vo ,
Laetitia Vanhoutte  and
Christophe Scavee
M Cecilia Gonzalez Corcia*
Affiliation:
Department of Pediatric Cardiology, St Luc Hospital, Catholic University of Louvain, Brussels, Belgium
Laura Peters
Affiliation:
Department of Pediatric Cardiology, St Luc Hospital, Catholic University of Louvain, Brussels, Belgium
Thierry Sluysmans
Affiliation:
Department of Pediatric Cardiology, St Luc Hospital, Catholic University of Louvain, Brussels, Belgium
Stephane Moniotte
Affiliation:
Department of Pediatric Cardiology, St Luc Hospital, Catholic University of Louvain, Brussels, Belgium
Karlien Carbonez
Affiliation:
Department of Pediatric Cardiology, St Luc Hospital, Catholic University of Louvain, Brussels, Belgium
Catherine Barrea
Affiliation:
Department of Pediatric Cardiology, St Luc Hospital, Catholic University of Louvain, Brussels, Belgium
Christophe Vo
Affiliation:
Department of Pediatric Cardiology, St Luc Hospital, Catholic University of Louvain, Brussels, Belgium
Laetitia Vanhoutte
Affiliation:
Department of Pediatric Cardiology, St Luc Hospital, Catholic University of Louvain, Brussels, Belgium
Christophe Scavee
Affiliation:
Department of Cardiology, St Luc Hospital, Catholic University of Louvain, Brussels, Belgium
*
Author for correspondence: M. Cecilia Gonzalez Corcia, MD, PhD, Department of Pediatric Cardiology. St Luc Hospital, Catholic University of Louvain, Brussels, Belgium Avenue Hippocrates 10, 1200, Brussels, Belgium. Tel: +32-(0)2-764-6573. Fax: +32-(0)2-764-8911. E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Background and Objectives:

Young patients suffering from rhythm disorders have a negative impact in their quality of life. In recent years, ablation has become the first-line therapy for supraventricular arrhythmias in children. In the light of the current expertise and advancement in the field, we decided to evaluate the quality of life in young patients with supraventricular arrhythmias before and after a percutaneous ablation procedure.

Methods:

The prospective cohort consisted of patients <18 years with structurally normal hearts and non-pre-excited supraventricular arrhythmias, who had an ablation in our centre from 2013 to 2018. The cohort was evaluated with the PedsQL™ 4.0 Generic Core Scales self-questionnaire prior to and post-ablation.

Results:

The final cohort included 88 patients consisted of 52 males (59%), with a mean age at ablation of 12.5 ± 3.3 years. Forty-two patients (48%) had a retrograde-only accessory pathway mediating the tachycardia, 38 (43%) had atrio-ventricular nodal re-entrant tachycardia, 7 (8%) had ectopic atrial tachycardia, and 1 (1%) had atrial flutter. The main reason for an ablation was the patient’s choice in 53%. There were no severe complications. Comparison between the baseline and post-ablation assessments showed that patients reported significant improvement in the scores for physical health, emotional and social functioning, as well as in the total scores.

Conclusions:

The present study demonstrates that the successful treatment of supraventricular arrhythmias by means of an ablation results in a significant improvement in the quality of self-reported life scores in young patients.

Keywords

Paediatric cardiologycardiac arrhythmiacatheter ablationquality of life
Type
Original Article
Information
Cardiology in the Young , Volume 30 , Issue 3 , March 2020 , pp. 413 - 417
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Johnson, B, Francis, J.Stress and cardiac arrhythmias. Indian Pacing Electrophysiol J 2014; 14: 230–232.10.1016/S0972-6292(16)30793-8CrossRefGoogle ScholarPubMed
Hafez, M, Abu-Elkheir, M, Shokier, M, Al-Marsafawy, H, Abo-Haded, H, El-Maaty, MA.Radiofrequency catheter ablation in children with supraventricular tachycardias: intermediate term follow up results. Clin Med Insights Cardiol 2012; 6: 7–16. doi: 10.4137/CMC.S8578.CrossRefGoogle ScholarPubMed
Kubus, P, Vit, P, Gebauer, Ret al.Long-term results of pediatric radiofrequency catheter ablation: a population-based study. Europace 2014; 16: 1808–1813.CrossRefGoogle Scholar
Chun, T, Van Hare, G.Advances in the approach to treatment of supraventricular tachycardia in the pediatric population. Curr Cardiol Rep 2004; 6: 322–326.CrossRefGoogle ScholarPubMed
Bubien, RS, Knotts-Dolson, SM, Plumb, VJ, Kay, GN.The effect of radiofrequency catheter ablation on health-related quality of life and activities of daily living in patients with recurrent arrhythmias. Circulation 1996; 96: 1585–1591.CrossRefGoogle Scholar
Lau, CP, Tai, YT, Lee, PWH.The effects of radiofrequency ablation versus medical therapy on the quality of life and exercise capacity in patients with accessory pathway-mediated supraventricular tachycardia: A treatment comparison study. Pacing Clin Electrophysiol 1995; 18 (Pt I): 424–432.CrossRefGoogle ScholarPubMed
Goldberg, AS, Bathina, MN, Mickelsen, S, Nawman, R, West, G, Kusumoto, FM.Long-term outcomes on quality-of-life and health care costs in patients with supraventricular tachycardia (radiofrequency catheter ablation versus medical therapy). Am J Cardiol 2002; 89: 1120–1123.CrossRefGoogle Scholar
Varni, JW, Seid, M, Kurtin, PS.Pediatric health-related quality of life measurement technology: A guide for health care decision makers. J Clin Outcomes Manag 1999; 6: 33–40.Google Scholar
Varni, JW, Seid, M, Kurtin, PS.PedsQL™ 4.0: reliability and validity of the Pediatric Quality of Life InventoryTM Version 4.0 Generic Core Scales in healthy and patient populations. Medical Care 2001, 39: 800–812.CrossRefGoogle Scholar
Varni, JW, Burwinkle, TM, Seid, M, Skarr, D:The PedsQL™ 4.0 as a pediatric population health measure: feasibility, reliability, and validity. Ambulatory Pediatrics 2003, 3: 329–341.2.0.CO;2>CrossRefGoogle Scholar
Varni, JW, Seid, M. Rode CA: the PedsQL™: measurement model for the Pediatric Quality of Life Inventory. Medical Care 1999, 37: 126–139.CrossRefGoogle Scholar
Wood, K, Drew, B, Scheinman, M.Frequency of disabling symptoms in supraventricular tachycardia. Am J Cardiol 1997; 79: 145–149.CrossRefGoogle ScholarPubMed
Wood, K, Stewart, A, Drew, Bet al.Changes in patient perceptions and quality of life following ablation in patients with supraventricular tachycardia. Heart Lung 2010; 39: 12.CrossRefGoogle ScholarPubMed
Pulgaron, E, Wile, D, Schneider, Ket al.Quality of life and psychosocial functioning of children with cardiac arrhythmias. Cardiol Young 2013; 23: 82–88.CrossRefGoogle ScholarPubMed
Abo-Haded, HRadiofrequency ablation changes the quality of life of children with supraventricular tachycardias. Arch Dis Child 2015; 100: 754–757.CrossRefGoogle Scholar
Strieper, M, Leong, T, Bajaj, T, et al.Does ablation of supraventricular tachycardia in children with a structurally normal heart improve quality of life? Congenit Heart Dis. 2010; 5: 587–593.CrossRefGoogle ScholarPubMed
Varni, W, Limbers, C, Burwinkle, T.How can children reliably and validly self-report their health-related quality of life?: An analysis of 8,591 children across age subgroups with PedsQL™ 4.0 Generic Core Scales. Health Qual Life Outcomes 2007, 5: 1. doi: 10.1186/1477-7525-5-1.CrossRefGoogle ScholarPubMed