Sex differences in catheter ablation for ventricular tachycardia in structural heart disease: a single center 10-years experience Article Swipe
Nikita Tanese
,
Giuseppe D’Angelo
,
Manuela Cireddu
,
Francesca Baratto
,
Paolo Della Bella
,
Caterina Bisceglia
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1093/europace/euad122.321
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1093/europace/euad122.321
Funding Acknowledgements Type of funding sources: None. Background Women are underrepresented in studies concerning ventricular tachycardia (VT) catheter ablation (CA). Different etiologies and type of structural heart diseases (SHD) are well established in women; nonetheless conflicting results about efficacy and safety of CA in women have been reported. Purpose To evaluate acute and long-term outcome of VT CA in SHD in women compared to men in a high-volume tertiary Center. Methods All consecutive procedures were included from January 2010 to December 2021. Clinical characteristics, VT etiologies and procedure data of female patients were compared to male population. Catheter ablation was performed according to standard protocol in our center. In mappable VTs, the reentry circuit was characterized, and ablation aimed at VT interruption during radiofrequency (RF); otherwise, a substrate modification approach aiming at late potentials abolition or ablation at sites of slow conduction during sinus rhythm was performed. Following ablation, prevention of any VT inducibility and substrate modification was considered ablation endpoint. Acute results, complications, and VT recurrences during follow up were analyzed comparing the two groups. Results Among 1608 overall VT CA procedures, 141 procedures were performed in 117 women. Female were younger, with less comorbidities, less ischemic VT etiology and higher left ventricular ejection fraction (LVEF) as compared to men (Table 1). They were also less likely ICD carriers. No significant differences were found with regards to: epicardial approach (39.7% vs 35.3%, p=0.68); VT inducibility at baseline (57.4% vs 67.6%, p=0.14), VT termination during RF (87.6% vs 77.6%, p=0.51), and prevention of any VT inducibility at the programmed electrical stimulation (PES) after ablation (79.5% vs 78.1%, p=0.7). Major complications occurred in 4.9% of females as compared to 4.3% of male patients. At median follow-up of 25 months, VT recurrences occurred in 24.7% of female population and 27.5% of male group (p=0.42). Cumulative VT-free survival was comparable in both groups (Figure 2). Conclusions Women with SHD have favorable acute and long-term outcome of VT ablation, despite a high prevalence of non-ischemic etiologies. VT recurrence rate and procedure safety is comparable to male patients, suggesting that catheter ablation can be offered as an effective treatment to women with refractory ventricular arrhythmias.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1093/europace/euad122.321
- https://academic.oup.com/europace/article-pdf/25/Supplement_1/euad122.321/50427795/euad122.321.pdf
- OA Status
- hybrid
- Cited By
- 1
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4378233295
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4378233295Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1093/europace/euad122.321Digital Object Identifier
- Title
-
Sex differences in catheter ablation for ventricular tachycardia in structural heart disease: a single center 10-years experienceWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-05-24Full publication date if available
- Authors
-
Nikita Tanese, Giuseppe D’Angelo, Manuela Cireddu, Francesca Baratto, Paolo Della Bella, Caterina BiscegliaList of authors in order
- Landing page
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https://doi.org/10.1093/europace/euad122.321Publisher landing page
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https://academic.oup.com/europace/article-pdf/25/Supplement_1/euad122.321/50427795/euad122.321.pdfDirect link to full text PDF
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://academic.oup.com/europace/article-pdf/25/Supplement_1/euad122.321/50427795/euad122.321.pdfDirect OA link when available
- Concepts
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Medicine, Catheter ablation, Cardiology, Ablation, Ventricular tachycardia, Ejection fraction, Internal medicine, Etiology, Population, Sinus rhythm, Tachycardia, Single Center, Heart failure, Atrial fibrillation, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
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1Total citation count in OpenAlex
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2025: 1Per-year citation counts (last 5 years)
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.as | 208, 276, 351 |
| abstract_inverted_index.at | 120, 132, 138, 237, 257 |
| abstract_inverted_index.be | 349 |
| abstract_inverted_index.in | 12, 33, 44, 59, 61, 66, 106, 188, 272, 292, 308 |
| abstract_inverted_index.is | 339 |
| abstract_inverted_index.of | 4, 25, 42, 56, 90, 140, 151, 253, 274, 280, 286, 294, 299, 323, 330 |
| abstract_inverted_index.or | 136 |
| abstract_inverted_index.to | 64, 80, 95, 103, 210, 278, 341, 355 |
| abstract_inverted_index.up | 170 |
| abstract_inverted_index.vs | 232, 240, 248, 266 |
| abstract_inverted_index.1). | 213 |
| abstract_inverted_index.117 | 189 |
| abstract_inverted_index.141 | 184 |
| abstract_inverted_index.2). | 312 |
| abstract_inverted_index.All | 72 |
| abstract_inverted_index.ICD | 219 |
| abstract_inverted_index.SHD | 60, 316 |
| abstract_inverted_index.and | 23, 40, 53, 87, 117, 155, 165, 201, 251, 297, 320, 336 |
| abstract_inverted_index.any | 152, 254 |
| abstract_inverted_index.are | 10, 30 |
| abstract_inverted_index.can | 348 |
| abstract_inverted_index.men | 65, 211 |
| abstract_inverted_index.our | 107 |
| abstract_inverted_index.the | 112, 174, 258 |
| abstract_inverted_index.to: | 228 |
| abstract_inverted_index.two | 175 |
| abstract_inverted_index.was | 100, 115, 146, 158, 306 |
| abstract_inverted_index.(VT) | 17 |
| abstract_inverted_index.1608 | 179 |
| abstract_inverted_index.2010 | 79 |
| abstract_inverted_index.4.3% | 279 |
| abstract_inverted_index.4.9% | 273 |
| abstract_inverted_index.They | 214 |
| abstract_inverted_index.Type | 3 |
| abstract_inverted_index.VTs, | 111 |
| abstract_inverted_index.also | 216 |
| abstract_inverted_index.been | 47 |
| abstract_inverted_index.both | 309 |
| abstract_inverted_index.data | 89 |
| abstract_inverted_index.from | 77 |
| abstract_inverted_index.have | 46, 317 |
| abstract_inverted_index.high | 328 |
| abstract_inverted_index.late | 133 |
| abstract_inverted_index.left | 203 |
| abstract_inverted_index.less | 195, 197, 217 |
| abstract_inverted_index.male | 96, 281, 300, 342 |
| abstract_inverted_index.rate | 335 |
| abstract_inverted_index.slow | 141 |
| abstract_inverted_index.that | 345 |
| abstract_inverted_index.type | 24 |
| abstract_inverted_index.well | 31 |
| abstract_inverted_index.were | 75, 93, 171, 186, 192, 215, 224 |
| abstract_inverted_index.with | 194, 226, 315, 357 |
| abstract_inverted_index.(CA). | 20 |
| abstract_inverted_index.(PES) | 262 |
| abstract_inverted_index.(RF); | 125 |
| abstract_inverted_index.(SHD) | 29 |
| abstract_inverted_index.2021. | 82 |
| abstract_inverted_index.24.7% | 293 |
| abstract_inverted_index.27.5% | 298 |
| abstract_inverted_index.Acute | 162 |
| abstract_inverted_index.Among | 178 |
| abstract_inverted_index.Major | 269 |
| abstract_inverted_index.None. | 7 |
| abstract_inverted_index.Women | 9, 314 |
| abstract_inverted_index.about | 38 |
| abstract_inverted_index.acute | 52, 319 |
| abstract_inverted_index.after | 263 |
| abstract_inverted_index.aimed | 119 |
| abstract_inverted_index.found | 225 |
| abstract_inverted_index.group | 301 |
| abstract_inverted_index.heart | 27 |
| abstract_inverted_index.sinus | 144 |
| abstract_inverted_index.sites | 139 |
| abstract_inverted_index.women | 45, 62, 356 |
| abstract_inverted_index.(39.7% | 231 |
| abstract_inverted_index.(57.4% | 239 |
| abstract_inverted_index.(79.5% | 265 |
| abstract_inverted_index.(87.6% | 247 |
| abstract_inverted_index.(LVEF) | 207 |
| abstract_inverted_index.(Table | 212 |
| abstract_inverted_index.35.3%, | 233 |
| abstract_inverted_index.67.6%, | 241 |
| abstract_inverted_index.77.6%, | 249 |
| abstract_inverted_index.78.1%, | 267 |
| abstract_inverted_index.Female | 191 |
| abstract_inverted_index.aiming | 131 |
| abstract_inverted_index.during | 123, 143, 168, 245 |
| abstract_inverted_index.female | 91, 295 |
| abstract_inverted_index.follow | 169 |
| abstract_inverted_index.groups | 310 |
| abstract_inverted_index.higher | 202 |
| abstract_inverted_index.likely | 218 |
| abstract_inverted_index.median | 284 |
| abstract_inverted_index.rhythm | 145 |
| abstract_inverted_index.safety | 41, 338 |
| abstract_inverted_index.women. | 190 |
| abstract_inverted_index.women; | 34 |
| abstract_inverted_index.(Figure | 311 |
| abstract_inverted_index.Center. | 70 |
| abstract_inverted_index.Funding | 1 |
| abstract_inverted_index.January | 78 |
| abstract_inverted_index.Methods | 71 |
| abstract_inverted_index.Purpose | 49 |
| abstract_inverted_index.Results | 177 |
| abstract_inverted_index.VT-free | 304 |
| abstract_inverted_index.center. | 108 |
| abstract_inverted_index.circuit | 114 |
| abstract_inverted_index.despite | 326 |
| abstract_inverted_index.females | 275 |
| abstract_inverted_index.funding | 5 |
| abstract_inverted_index.groups. | 176 |
| abstract_inverted_index.months, | 288 |
| abstract_inverted_index.offered | 350 |
| abstract_inverted_index.outcome | 55, 322 |
| abstract_inverted_index.overall | 180 |
| abstract_inverted_index.p=0.7). | 268 |
| abstract_inverted_index.reentry | 113 |
| abstract_inverted_index.regards | 227 |
| abstract_inverted_index.results | 37 |
| abstract_inverted_index.studies | 13 |
| abstract_inverted_index.Abstract | 0 |
| abstract_inverted_index.Catheter | 98 |
| abstract_inverted_index.Clinical | 83 |
| abstract_inverted_index.December | 81 |
| abstract_inverted_index.ablation | 19, 99, 118, 137, 160, 264, 347 |
| abstract_inverted_index.analyzed | 172 |
| abstract_inverted_index.approach | 130, 230 |
| abstract_inverted_index.baseline | 238 |
| abstract_inverted_index.catheter | 18, 346 |
| abstract_inverted_index.compared | 63, 94, 209, 277 |
| abstract_inverted_index.diseases | 28 |
| abstract_inverted_index.efficacy | 39 |
| abstract_inverted_index.ejection | 205 |
| abstract_inverted_index.etiology | 200 |
| abstract_inverted_index.evaluate | 51 |
| abstract_inverted_index.fraction | 206 |
| abstract_inverted_index.included | 76 |
| abstract_inverted_index.ischemic | 198 |
| abstract_inverted_index.mappable | 110 |
| abstract_inverted_index.occurred | 271, 291 |
| abstract_inverted_index.p=0.14), | 242 |
| abstract_inverted_index.p=0.51), | 250 |
| abstract_inverted_index.p=0.68); | 234 |
| abstract_inverted_index.patients | 92 |
| abstract_inverted_index.protocol | 105 |
| abstract_inverted_index.results, | 163 |
| abstract_inverted_index.sources: | 6 |
| abstract_inverted_index.standard | 104 |
| abstract_inverted_index.survival | 305 |
| abstract_inverted_index.tertiary | 69 |
| abstract_inverted_index.younger, | 193 |
| abstract_inverted_index.(p=0.42). | 302 |
| abstract_inverted_index.Different | 21 |
| abstract_inverted_index.Following | 148 |
| abstract_inverted_index.ablation, | 149, 325 |
| abstract_inverted_index.abolition | 135 |
| abstract_inverted_index.according | 102 |
| abstract_inverted_index.carriers. | 220 |
| abstract_inverted_index.comparing | 173 |
| abstract_inverted_index.effective | 353 |
| abstract_inverted_index.endpoint. | 161 |
| abstract_inverted_index.favorable | 318 |
| abstract_inverted_index.follow-up | 285 |
| abstract_inverted_index.long-term | 54, 321 |
| abstract_inverted_index.patients, | 343 |
| abstract_inverted_index.patients. | 282 |
| abstract_inverted_index.performed | 101, 187 |
| abstract_inverted_index.procedure | 88, 337 |
| abstract_inverted_index.reported. | 48 |
| abstract_inverted_index.substrate | 128, 156 |
| abstract_inverted_index.treatment | 354 |
| abstract_inverted_index.Background | 8 |
| abstract_inverted_index.Cumulative | 303 |
| abstract_inverted_index.comparable | 307, 340 |
| abstract_inverted_index.concerning | 14 |
| abstract_inverted_index.conduction | 142 |
| abstract_inverted_index.considered | 159 |
| abstract_inverted_index.electrical | 260 |
| abstract_inverted_index.epicardial | 229 |
| abstract_inverted_index.etiologies | 22, 86 |
| abstract_inverted_index.otherwise, | 126 |
| abstract_inverted_index.performed. | 147 |
| abstract_inverted_index.population | 296 |
| abstract_inverted_index.potentials | 134 |
| abstract_inverted_index.prevalence | 329 |
| abstract_inverted_index.prevention | 150, 252 |
| abstract_inverted_index.procedures | 74, 185 |
| abstract_inverted_index.programmed | 259 |
| abstract_inverted_index.recurrence | 334 |
| abstract_inverted_index.refractory | 358 |
| abstract_inverted_index.structural | 26 |
| abstract_inverted_index.suggesting | 344 |
| abstract_inverted_index.Conclusions | 313 |
| abstract_inverted_index.conflicting | 36 |
| abstract_inverted_index.consecutive | 73 |
| abstract_inverted_index.differences | 223 |
| abstract_inverted_index.established | 32 |
| abstract_inverted_index.etiologies. | 332 |
| abstract_inverted_index.high-volume | 68 |
| abstract_inverted_index.nonetheless | 35 |
| abstract_inverted_index.population. | 97 |
| abstract_inverted_index.procedures, | 183 |
| abstract_inverted_index.recurrences | 167, 290 |
| abstract_inverted_index.significant | 222 |
| abstract_inverted_index.stimulation | 261 |
| abstract_inverted_index.tachycardia | 16 |
| abstract_inverted_index.termination | 244 |
| abstract_inverted_index.ventricular | 15, 204, 359 |
| abstract_inverted_index.arrhythmias. | 360 |
| abstract_inverted_index.inducibility | 154, 236, 256 |
| abstract_inverted_index.interruption | 122 |
| abstract_inverted_index.modification | 129, 157 |
| abstract_inverted_index.non-ischemic | 331 |
| abstract_inverted_index.complications | 270 |
| abstract_inverted_index.characterized, | 116 |
| abstract_inverted_index.comorbidities, | 196 |
| abstract_inverted_index.complications, | 164 |
| abstract_inverted_index.radiofrequency | 124 |
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| abstract_inverted_index.characteristics, | 84 |
| abstract_inverted_index.underrepresented | 11 |
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| cited_by_percentile_year.min | 91 |
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| institutions_distinct_count | 6 |
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