(Circulation. 2000;101:2607.)
© 2000 American Heart Association, Inc.
Clinical Investigation and Reports |
Effects of the Maze Operation on Health-Related Quality of Life in Patients With Atrial Fibrillation
From the Department of Cardiology (S.L., P.B., C.B.-L.) and the Department of Thoracic Surgery (L.N., S.O., L.J.), Uppsala University Hospital, Uppsala, Sweden.
Correspondence to Stefan Lönnerholm, Department of Cardiology, Uppsala University Hospital, 751 85 Uppsala, Sweden.
Background—Maze surgery for atrial fibrillation (AF) is a curative therapy, but its effect on health-related quality of life has not been studied.
Methods and Results—Maze operations were performed in 48 patients with drug-refractory AF. The majority of patients (80%) had lone AF, and the primary indication for surgery in all patients was AF. The SF-36 Health Survey was used to assess quality of life before operation and at 6 months and 1 year after surgery. Twenty-five patients were available for the 1-year follow-up and completed all questionnaires. Before maze surgery, the SF-36 scores were significantly lower than in the general Swedish population, reflecting significant impairment in well-being, physical and social functioning, and mental health. After maze surgery, the quality of life was significantly improved at 6 months and at 1 year on all scales except for bodily pain, which, however, was not significantly decreased before surgery. At both 6 months and 1 year after maze surgery, quality of life, measured by the SF-36, reached the levels of the general Swedish population.
Conclusions—The maze operation can significantly improve the health-related quality of life in selected groups of patients with both paroxysmal and chronic AF refractory to antiarrhythmic therapy.
Key Words: maze operation • fibrillation • quality of life
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
 |
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
|
|
|
|
|
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|
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|
|
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|
|
|
 |
|
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