Lesson Primary results of rf catheter ablation for af in vietnam heart institute - Pham Quoc Khanh

PRIMARY RESULTS OF<br /> RF CATHETER ABLATION FOR AF<br /> IN VIETNAM HEART INSTITUTE<br /> <br /> PHAM QUOC KHANH, MD, PhD. et al<br /> Vietnam Heart Institute<br /> <br /> Background - Forms of Atrial Fibrillation<br /> - Clinical type<br /> <br /> of AF:<br /> <br /> + paroxysmal 7 days: require intervention<br /> termination.<br /> <br /> + permanent: refractory to cardioversion or<br /> accepted as final rhythm.<br /> -<br /> <br /> Background - Prevalence of AFib<br /> General population-based<br /> prevalence<br /> <br /> 0.95%<br /> <br /> 2.5%<br /> <br /> ATRIA study<br /> <br /> Olmsted County study<br /> <br /> Go AS, et al. JAMA (2001) 285: 2370<br /> Miyasaka Y, et al. Circulation (2006) 114: 119<br /> <br /> Prevalence of AFib<br /> <br /> Projected number of persons with AF<br /> (millions)<br /> <br /> Olmsted County study<br /> 15.2<br /> <br /> 16<br /> <br /> 15.9<br /> <br /> 14.3<br /> 14<br /> <br /> 13.1<br /> 11.7<br /> <br /> 12<br /> <br /> 10.2<br /> 10<br /> <br /> 8.9<br /> <br /> 11.1<br /> <br /> 7.7<br /> <br /> 8<br /> 6 5.1<br /> 4 5.1<br /> <br /> 5.9<br /> 5.6<br /> <br /> 9.4<br /> <br /> 6.7<br /> <br /> 6.1<br /> <br /> 6.8<br /> <br /> 7.5<br /> <br /> 11.7<br /> <br /> 12.1<br /> <br /> 10.3<br /> <br /> 8.4<br /> <br /> 2<br /> 0<br /> <br /> 2000<br /> <br /> 2005<br /> <br /> 2010<br /> <br /> 2015<br /> <br /> 2020<br /> <br /> 2025<br /> <br /> 2030<br /> <br /> 2035<br /> <br /> 2040<br /> <br /> 2045<br /> <br /> 2050<br /> <br /> Year<br /> Miyasaka Y, et al. Circulation (2006) 114: 119<br /> <br /> Increased Risk of Cardiovascular Events<br /> Death or hospitalization in individuals with CV event(s) after 20<br /> years<br /> Men<br /> <br /> At least one CV event (%)<br /> <br /> 100<br /> <br /> Women<br /> <br /> 89<br /> 80<br /> <br /> 66<br /> 60<br /> <br /> 45<br /> 40<br /> <br /> 27<br /> 20<br /> <br /> 0<br /> <br /> AFib<br /> <br /> No AFib<br /> <br /> AFib<br /> <br /> No AFib<br /> <br /> Stewart S, et al. Am J Med (2002) 113: 359<br /> <br />