ABSTRACT
Objective: Radiofrequency catheter ablation (RFA) treatment is applied in patients with symptomatic supraventricular tachycardia (SVT). It is known that the frequency of SVT increases in patients with poor sleep quality (PSQ). However, especially in patients with frequent SVT episodes at night, PSQ occurrence and the effect of RFA therapy on PSQ have not been evaluated. The aim of this study was to evaluate PSQ in patients undergoing RFA treatment due to SVT and detect the effect of RFA treatment on PSQ.
Material and Methods: This cross-sectional study included 153 patients who underwent RF ablation with a diagnosis of SVT in our clinic. Self-reported sleep quality was carried out in all patients in addition to routine examinations before ablation and at the first month control. The effect of RFA treatment on self-reported sleep quality in patients with SVT was evaluated.
Results: Patients with SVT had a PSQ of 66%. RFA treatment in patients with SVT was shown to positively and significantly reduce subjective sleep quality, sleep latency, sleep duration, sleep efficiency, sleep disturbances, daytime dysfunction, and global Pittsburgh Sleep Quality Index (PSQI) (54%) (p< 0.001).
Conclusion: PSQ is common in patients with SVT, and PSQ improves significantly with RF ablation therapy. While evaluating patients with SVT, it should be kept in mind that PSQ may have occurred especially due to SVT and that presence of PSQ increases SVT incidence. Also, as a result of the data obtained, we believe that performing subjective sleep quality test in addition to complaints of palpatation would be beneficial in questioning whether SVT patients are symptomatic or not.
Keywords: Supraventricular tachycardia, radiofrequency catheter ablation, poor sleep quality