Abstract

Effects of Supraventricular Tachycardia Ablation on Anxiety and Depression. Fatma Yigit, Ebru Altintas. Department of Cardiology, Baskent University Medical Faculty Adana Teaching and Reseach Center, Adana, Turkey; Department of Psychiatry, Baskent University Medical Faculty Adana Teaching and Reseach Center, Adana, Turkey. Backgrounds: Supraventricular tachycardia is a common rhythm disturbance. Radiofrequency catheter ablation is an effective and safety treatment choice in this arrhythmia. Depression and anxiety are often today. Palpitations may be symptom of the many mental and the phsycal disorders. The aim of this study is investigate to effects of radiofrequency catheter ablation on anxiety and depression in supraventricular tachycardia patients. Methods: Twenty-eight patients with palpitation that cardiac electrophysiology (EPS) was that planned were included to the study. Patients were evaluated by the same psychiatrist both just before EPS and after 1 month. Groups were compared with regard to socio-demographic characteristics, co morbid disorders, Beck Anxiety Inventory (BAI) and Beck Depression Inventory (BDI). Results: There were no statistically significant differences between the groups in terms of age, gender, marital status, occupation, family history for psychiatric and cardiac diseases, and concomitant physical diseases. After EPS, in 60.7% of patients was detected typical atrioventricular nodal reentrant tachycardia. Ablation success was in 91% of the patients. The most common mental disorder was anxiety disorder (41%, 14 patients). In 3 patients (10.7%) had depressive disorder. After EPS -1 month laterBAI score was significantly lower as compared with baseline BAI score. Whilst there was no significant difference in BDI score after EPS compared with baseline BDI score (table). Conclusions: The present study revealed that the anxiety level is decreasing in patients with palpitation after EPS with RF ablation, but not depression. Table. The Anxiety and Depression Scores Before and After Electrophysiology Study Score median (minimum-maximum) p BAI-1 20 (0-42) BAI-2 13.5 (1-36) 0.049 BDI-1 14 (1-25) BDI-2 12 (0-25) 0.23 BDI-1: Baseline Beck Depression Scale score; BDI-2: post-EPS Beck Depression Inventory score; BAI-1: Baseline Beck Anxiety Inventory score; BAI-2: post-EPS Beck Anxiety Inventory score. p1⁄4 Wilcoxson test (group comparison results of repeated measurements). Bold indicates statistically significant p-values.

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