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Title: Reversibility of tachycardiomyopathy after successful radiofrequency catheter ablation : Intermediate results
Authors: Ongkarn Raungratanaamporn
Kiertijai Bhuripanyo
Rungroj Krittayaphong
Chan Sriratanasathavorn
Suchada Raungratanaamporn
Charuwan Kangkagate
Koonlawee Nademanee
Suphachai Chaithiraphan
Mahidol University
Keck School of Medicine of USC
Keywords: Medicine
Issue Date: 1-Feb-2001
Citation: Journal of the Medical Association of Thailand. Vol.84, No.2 (2001), 258-264
Abstract: Left ventricular function in patients with tachycardia induced cardiomypopathy can improve after cessation of the arrhythmia. We reported the intermediate results of 10 patients, 6 men and 4 women, with tachycardiomyopathy who successfully underwent radiofrequency catheter ablation (RFCA) for incessant tachycardia. Three had right atrial tachycardia, 5 ventricular tachycardia (2 and 3 from the right and left ventricles, respectively), 1 atrial flutter and 1 right accessory pathway. During the mean follow-up period of 19 months (range 11-38 months), one patient, right atrial tachycardia, had recurrence and reablation was successfully done without recurrence. Left ventricular ejection fraction, endsystolic and diastolic diameters from echocardiography gradually improved from 35 per cent, 51 and 61 mm to 58 per cent, 36 and 52 mm, respectively (p<0.001). The mean duration of reversibility was 7 months (range 1-15 months). There was no recurrence of tachycardiomyopathy after the return of left ventricular function. Conclusion, RFCA can terminate tachyarrhythmia and lead to significant improvement of left ventricular diameters and systolic function in patients with tachycardia induced cardiomyopathy.
ISSN: 01252208
Appears in Collections:Scopus 2001-2005

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