Ablation of atrial fibrillation in patients with Brugada syndrome: A systematic review of the literature
dc.contributor.author | Rodríguez Mañero, Moises | |
dc.contributor.author | Kreidieh, B. | |
dc.contributor.author | Valderrabano, M. | |
dc.contributor.author | Baluja González, María Aurora | |
dc.contributor.author | Martínez Sande, Jose Luis | |
dc.contributor.author | García Seara, Javier | |
dc.contributor.author | Díaz Fernández, Brais | |
dc.contributor.author | Pereira Vázquez, María | |
dc.contributor.author | Lage Fernández, Ricardo | |
dc.contributor.author | González Melchor, Laila | |
dc.contributor.author | Fernández López, Jesus Alberto | |
dc.contributor.author | González Juanatey, José Ramón | |
dc.date.accessioned | 2021-11-23T09:13:41Z | |
dc.date.available | 2021-11-23T09:13:41Z | |
dc.date.issued | 2019 | |
dc.identifier.issn | 1880-4276 | |
dc.identifier.other | https://www.ncbi.nlm.nih.gov/pubmed/30805040 | es]bi |
dc.identifier.uri | http://hdl.handle.net/20.500.11940/15721 | |
dc.description.abstract | Supraventricular arrhythmias are common in Brugada syndrome (BS), and notoriously difficult to manage with medical therapy secondary to associated risks. Pulmonary vein isolation (PVI) is often utilized instead, but its outcomes in this population are not well-known. We aim to provide a holistic evaluation of interventional treatment for Atrial fibrillation (AF) in the BS population. Electronic databases Medline, Embase, Cinahl, Cochrane, and Scopus were systematically searched for publications between 01/01/1995 and 12/31/2017. Studies were screened based on predefined inclusion and exclusion criteria. A total of 49 patients with BS and AF were included. Age range from 28.8 to 64 years, and 77.5% were male. 38 patients were implanted with implantable cardioverter-defibrillators (ICD) at baseline, and of them, 39% suffered inappropriate shocks for rapid AF. 34/49 (69%) of patients achieved remission following a single PVI procedure. Of the remaining, 13 patients underwent one or more repeat ablation procedures. Overall, 45/49 (91.8%) of patients remained in remission during long-term follow-up after one or more PVI procedures in the absence of antiarrhythmic drug (AAD) therapy. Postablation, no patients suffered inappropriate ICD shock. Furthermore, no major complications secondary to PVI occurred in any patient. AF ablation achieves acute and long-term success in the vast majority of patients. It is effective in preventing inappropriate ICD therapy secondary to rapid AF. Complication rates of PVI in BS are low. Thus, in light of the risks of AADs and risk of inappropriate ICD shocks in the BS population, catheter ablation could represent an appropriate first-line therapy for paroxysmal atrial fibrillation in BS patients. | es |
dc.language.iso | eng | es |
dc.rights | Attribution-NonCommercial-NoDerivatives 4.0 International | * |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/4.0/ | * |
dc.subject.mesh | Brugada Syndrome | * |
dc.title | Ablation of atrial fibrillation in patients with Brugada syndrome: A systematic review of the literature | es |
dc.type | Artigo | es |
dc.authorsophos | Rodriguez-Manero, M. | |
dc.authorsophos | Kreidieh, B. | |
dc.authorsophos | Valderrabano, M. | |
dc.authorsophos | Baluja, A. | |
dc.authorsophos | Martinez-Sande, J. L. | |
dc.authorsophos | Garcia-Seara, J. | |
dc.authorsophos | Diaz-Fernandez, B. | |
dc.authorsophos | Pereira-Vazquez, M. | |
dc.authorsophos | Lage, R. | |
dc.authorsophos | Gonzalez-Melchor, L. | |
dc.authorsophos | Fernandez-Lopez, X. A. | |
dc.authorsophos | Gonzalez-Juanatey, J. R. | |
dc.identifier.doi | 10.1002/joa3.12113 | |
dc.identifier.pmid | 30805040 | |
dc.identifier.sophos | 31462 | |
dc.issue.number | 1 | es |
dc.journal.title | JOURNAL OF ARRHYTHMIA | es |
dc.organization | Servizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::EOXI de Santiago de Compostela - Complexo Hospitalario Universitario de Santiago de Compostela::Cardioloxía | es |
dc.organization | Servizo Galego de Saúde::Estrutura de Xestión Integrada (EOXI)::Instituto de Investigación Sanitaria de Santiago de Compostela (IDIS) | es |
dc.page.initial | 18 | es |
dc.page.final | 24 | es |
dc.rights.accessRights | openAccess | es |
dc.subject.decs | síndrome de brugada | * |
dc.subject.keyword | CHUS | es |
dc.subject.keyword | IDIS | es |
dc.typefides | Artículo de Revisión | es |
dc.typesophos | Artículo de Revisión | es |
dc.volume.number | 35 | es |