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September 23, 2022Journal of ArrhythmiaOpen Access

Feasibility and safety of interventional electrophysiology and catheter ablation in the South African public sector: Challenges and opportunities for comprehensive cardiac electrophysiology in South Africa

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Key result

Public-sector catheter ablation in South Africa shows a ~92% success rate with minimal complications.

  • n=1,186

Why the study?

The spectrum and outcomes of catheter ablation procedures in South Africa are unknown, leaving the feasibility of interventional electrophysiology in the South African public sector undetermined.

What are the spectrum, success rate, and safety of catheter ablation procedures in the South African public sector?

Comparison

Invasive electrophysiology procedures and catheter ablation across public vs private academic hospitals

Design

Retrospective review

Authors

PMPhilasande MkokoUniversity of Cape TownNBNthabiseng BaroleKSKayla SolomonGroote Schuur Hospital

Discussion

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Implication

Supports ablation program feasibility in low-resource public sectors; leaves open generalizability pending prospective validation.

Study Design

Type

Observational (n=1,186)

Multicenter

Yes

Structured PICO

What are the spectrum, success rate, and safety of catheter ablation procedures in the South African public sector?

P
Population
Patients undergoing invasive electrophysiology procedures and catheter ablation at Groote Schuur Hospital (GSH) and the University of Cape Town Private Academic Hospital (UCTPAH) between January 2013 and December 2020 (n=1,186 procedures).
I
Intervention
Invasive electrophysiology procedures and catheter ablation
O
Outcome
Spectrum, success rate, and complications of catheter ablation proceduressafety

Catheter ablation procedures can be performed safely and with a high success rate in the South African public sector, demonstrating the feasibility of comprehensive cardiac electrophysiology in this setting.

Cite This Study

Mkoko et al. (2022) conducted an observational in Arrhythmias requiring catheter ablation (n=1,186). Catheter ablation was evaluated on Overall success rate of catheter ablation. Catheter ablation in the South African public sector was feasible and safe, achieving a 92% overall success rate with only 0.8% procedure-related complications.

synapsesocial.com/papers/6a10d0148102eb4b66ee75b8https://doi.org/10.1002/joa3.12783

Topics

Atrial fibrillationPersistent AF managementAF ablation outcomes
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Also Consider

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  1. 1The first Latin American Catheter Ablation Registry2015 · 53 citations
  2. 2Catheter Ablation of Accessory Pathways, Atrioventricular Nodal Reentrant Tachycardia, and the Atrioventricular Junction1999 · 617 citations
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  4. 4Catheter Ablation for Atrial Fibrillation with Heart Failure2018 · 2,519 citations
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