Author/Authors :
Fazelifar، Amirfarjam نويسنده Assistant Professor of Cardiology, Cardiac Electrophysiology Research Center, Rajaie Cardiovascular, Medical and Research Center , , Eskandari، Ali-Reza نويسنده Department of Immunology, Ahvaz Jondishapur University of Medical Sciences, Ahvaz, Iran , , Hashemi، Mohammadjafar نويسنده Department of Anesthesiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran , , Alavi، Mostafa نويسنده , , Totounchi، Mohammadzia نويسنده Department of Anesthesiology, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran , , Forghanian، Azam نويسنده Electrophysiology Laboratory, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran , , Zeighami، Mahboubeh نويسنده Electrophysiology Laboratory, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, IR Iran , , Emkanjoo، Zahra نويسنده Department of cardiology, Iran University of Medical Sciences , , Haghjoo، Majid نويسنده Echocardiography Research Center, Rajaie Cardiovascular, Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. ,
Abstract :
General anesthesia and deep sedation can be used during cardiac EPS to relief pain and provide comfort and immobility, but many electrophysiologists avoid sedation for better arrhythmia induction. To determine anesthesia effects in ablation procedures in adults, we used intravenous anesthetic agents in patients who underwent slow pathway ablation. One hundred patients who were to undergo radiofrequency catheter ablation were randomly assigned to with and without intravenous anesthesia groups. All patients had palpitation with a documented electrocardiography (ECG) compatible with atrio-ventricular nodal reentrant tachycardia (AVNRT). We used propofol, fentanyl and midazolam for intravenous sedation. Electrophysiological parameters were checked for the two groups and compared before and after the ablation. Electrophysiological parameters were not significantly different in the two groups. In the anesthetic group, patients were more satisfied with the procedure (P value < 0. 001). Intravenous anesthesia could be done safely in patients who underwent electrophysiological procedures. It had no effect on arrhythmia induction or slow pathway ablation in patients with documented AVNRT.
