Comparison of Life Quality in Patients after Interventional or Surgical Treatment of Atrial Fibrillation

Olga Bockeria, Leo Bockeria, Gyulsuna Yurkulieva, Anna Satyukova, Mikhail Biniashvili, Artak Ispiryan

A.N. Bakulev National Medical Research Center for Cardiovascular Surgery of Russian Federation Ministry of Health, Moscow, Russia

Date, time and location: 2018.05.25 13:30, Exhibition area, 1st Floor. Zone – A

Abstract

Objective: The purpose of this study was to compare quality of life (QOL) in patients who underwent elective interventional or surgical treatment of atrial fibrillation (AF).

Material and Methods: There were73 patients divided into 2 groups: the first group included 43 patients (59%) after the Labyrinth IIIB procedure (patent number RU2017120391; 09.06.2017); the second group included 30 patients (41%) after the radiofrequency ablation (RFA) of right isthmus and pulmonary veins with the additional line to the mitral valve. The mean age of patients was 54.49±8.71 years. The mean duration of AF in the first group was 5.35±3.73 years, in the second group – 6.17±4.35 years (p=0,39).QOL in both groups was assessed using the SF-36 questionnaire (Short Form-36) before and 12.27±1.66 months after the treatment. The comparative assessment of QOL was performed both within each group and between two groups.

Results: In the first group, according to the SF-36 questionnaire, both score of physical and psychological constituent of health improved significantly from 38.98±9.91 at baseline to 44.7±10.46 (p=0.01) afterLabyrinth IIIBprocedure and from 38,51±9.78 and 48.67±11.79 (p=0.01) respectively.

In the second group the score of physical constituent of health slightly improved from 42.5±7,55 and 44.37±5.56 (p=0.27) and there were significant improvement of the score of psychological constituent of health from 48.47±7.55 to 51.17±3.45 (p=0.01).

Conclusions: the analysis of QOL comparison showed that during the follow-up period of 12.27±1.66 months after surgical treatment (Labyrinth IIIBprocedure) both physical and psychological constituents of health improved, whereas after interventional treatment there was improvement only in the psychological component of health.