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Revista Portuguesa de Cardiologia
Article . 2021 . Peer-reviewed
License: CC BY NC ND
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Revista Portuguesa de Cardiologia
Article
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Revista Portuguesa de Cardiologia
Article . 2021
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Registo Nacional de Eletrofisiologia Cardíaca 2017‐2018

Authors: Nuno Cortez‐Dias; Pedro Silva Cunha; Francisco Moscoso Costa; Daniel Bonhorst; Mário M. Oliveira;

Registo Nacional de Eletrofisiologia Cardíaca 2017‐2018

Abstract

Resumo: Objetivo: Apresentam‐se os dados referentes ao Registo Nacional de Eletrofisiologia Cardíaca da Associação Portuguesa de Arritmologia, Pacing e Eletrofisiologia (APAPE) e Instituto Português do Ritmo Cardíaco (IPRC) para os anos de 2017 e 2018. Métodos: Trata‐se de um registo anual, voluntário, observacional e retrospetivo. É analisada a evolução da atividade dos Centros de Eletrofisiologia tendo em conta o tipo de procedimentos realizados e são discutidas as potenciais implicações. Resultados: Nos 22 Centros de Eletrofisiologia em funcionamento foram realizadas 3407 ablações em 2017 e 3653 ablações em 2018. A ablação de fibrilhação auricular foi o procedimento mais frequente (1017 ablações em 2017 e 1222 em 2018). Dos doentes submetidos a ablação de fibrilhação auricular, 63% eram do sexo masculino, 60% apresentavam entre 50 e 69 anos e 74% tinham arritmia paroxística. Foram reportadas complicações clinicamente relevantes em 0,8% dos procedimentos. Em 2017, foram efetuadas 216 ablações de taquicardia ventricular (TV) em 15 centros. Em 2018, 19 centros realizaram 249 ablações de TV. Cerca de 45% das ablações de TV foram efetuadas em doentes com cardiopatia estrutural. Foram reportadas complicações em 3,2% dos procedimentos, incluindo um óbito (0,2%). Conclusão: A eletrofisiologia nacional mantém um crescimento no número de ablações por cateter. Além disso, verificou‐se aumento na complexidade das ablações realizadas, assumindo a ablação de fibrilhação auricular uma posição dominante entre os procedimentos efetuados. Abstract: Introduction: The authors present the results of the national cardiac electrophysiology registry of the Portuguese Association of Arrhythmology, Pacing and Electrophysiology (APAPE) and the Portuguese Institute of Cardiac Rhythm (IPRC) for 2017 and 2018. Methods: The registry is annual, voluntary, and observational. Data are collected retrospectively. Developments over the years and their implications are analyzed and discussed. Results: In the 22 electrophysiology centers, 3407 ablations were performed in 2017 and 3653 ablations in 2018. Atrial fibrillation (AF) ablation was the most frequently performed procedure: 1017 ablations in 2017 and 1222 procedures in 2018. Of the patients undergoing AF ablation, 63% were male, 60% were between 50 and 69 years old and 74% had paroxysmal AF. Clinically relevant complications were reported in 0.8% of the procedures. In 2017, 216 ventricular tachycardia (VT) ablation procedures were performed in 15 centers. In 2018, 19 centers performed 249 VT ablations. About 45% of VT ablations were performed in patients with structural heart disease. Complications were reported in 3.2% of the procedures, including one death (0.2%). Conclusions: The national electrophysiology registry showed a sustained increase in the number of catheter ablations. In addition, procedural complexity increased and AF ablation assumed a dominant position among the procedures performed.

Related Organizations
Keywords

Electrophysiology, Registry, RC666-701, Diseases of the circulatory (Cardiovascular) system, Ventricular tachycardia, Ablation, Atrial fibrillation

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
6
Top 10%
Top 10%
Average
gold