Epidemiologic burden of hospitalization among adult Filipinos with supraventricular tachycardia requiring radiofrequency ablation

April Ann A Bermudez-delos Santos; Michael-joseph F Agbayani; Erdie C Fadreguilan; Eden A Gabriel; Bernadette A Tumanan-mendoza; Victor L Mendoza; Noemi S Pestañ; o; Gladys Ruth S David; Felix Eduardo R Punzalan; Giselle G Gervacio; Luigi Pierre S Segundo; Carlos E De Las Llagas; Magdalena J Lagamayo

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Epidemiologic burden of hospitalization among adult Filipinos with supraventricular tachycardia requiring radiofrequency ablation

Author: April Ann A. Bermudez-delos Santos ¹ ; Michael-Joseph F. Agbayani ^{1
,

2
,

3} ; Erdie C. Fadreguilan ² ; Eden A. Gabriel ^{2
,

4} ; Bernadette A. Tumanan-Mendoza ^{1
,

5} ; Victor L. Mendoza ^{6
,

7} ; Noemi S. Pestaño ¹ ; Gladys Ruth S. David ^{2
,

4} ; Felix Eduardo R. Punzalan ^{1
,

3} ; Giselle G. Gervacio ^{1
,

2
,

3} ; Luigi Pierre S. Segundo ⁸ ; Carlos E. De Las Llagas ⁹ ; Magdalena J. Lagamayo ¹⁰
Author Information

1. Section of Cardiology, Department of Internal Medicine, Manila Doctors Hospital
2. Division of Electrophysiology, Philippine Heart Center
3. Division of Cardiovascular Medicine, Department of Medicine, Philippine General Hospital, University of the Philippines College of Medicine
4. Cardinal Santos Medical Center
5. Department of Clinical Epidemiology, University of the Philippines College of Medicine
6. Section of Cardiology, Department of Internal Medicine, De La Salle University Medical Center, Dasmarinas, Cavite
7. Department of Physiology, De La Salle Medical and Health Sciences Institute, Dasmarinas, Cavite
8. The Medical City, Asian Hospital and Medical Center
9. St Lukes Medical Center-Global City, Daniel Mercado Medical Center Tanauan City
10. Our Lady of Lourdes Hospital
Publication Type:Journal Article
MeSH: Arrhythmias, Cardiac; Tachycardia, Supraventricular; Radiofrequency Ablation; prevalence; Hospitalization
From: Philippine Journal of Cardiology 2021;49(1):14-20
CountryPhilippines
Language:English
Abstract: INTRODUCTION:Radiofrequency catheter ablation (RFA) is an interventional cardiac electrophysiologic procedure that uses heat energy for definitive management of supraventricular tachycardias. It is a class I recommendation for chronic management of most supraventricular arrhythmias. No local data exist in the incidence hospitalization for SVT and utilization of RFA for this condition. The study aimed to obtain the prevalence of hospitalization of patients with supraventricular tachycardias where RFA is utilized, including the patients’ demographic profile, length of hospitalization, and mortality rate.
METHODOLOGY:Philippine Health Insurance Corporation claims for hospitalization from January 1, 2017, to December 31, 2018, were reviewed. Data analysis was done using median and interquartile range for continuous data, and frequency and percentage distribution for categorical data.
RESULTS:There were 1121 and 1149 claims for hospitalization for SVTs (atrial paroxysmal tachycardia, atrioventricular paroxysmal tachycardia, nodal paroxysmal tachycardia, and junctional tachycardia) in 2017 and 2018, respectively. This represents four hospitalization claims for SVT per 10,000 of the total PHIC claims. The majority of patients were female with median age of 52 years. Only 25 and 19 patients underwent radiofrequency ablation in 2017 and 2018, respectively. The majority of these patients were male and younger with a median age of 31 years. No mortality was recorded among patients admitted for catheter ablation.
CONCLUSION:In 2017 and 2018, hospitalization claims for SVT requiring catheter ablation were 0.04% (four hospitalization claims for SVT per 10,000 of the total claims) in both years. The majority of patients were admitted with pharmacologic therapy on discharge with very low utilization of radiofrequency ablation for long-term management.
Full text:202410181804086655214_PJC Jan Jun 2021.pdf