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Atrioventricular nodal reciprocating tachycardia (AVNRT) and atrioventricular reciprocating tachycardia (AVRT) are two similar supraventricular re-entry tachycardias (SVT) emerging in relatively young age in patients without apparent structural heart disease or significant comorbidities. The treatment of choice in those patients is radiofrequency ablation (RFA).
The PPRA study is a prospective observational study developed to thoroughly analyze quality of life, utility and willingness-to-pay of Polish patients undergoing RF ablation of AVNRT or AVRT.
Based on collected data the investigators will prepare a profile of patient who will benefit most from radiofrequency ablation and who should be scheduled in first place for the ablation in case of problems with accessibility to this service.
What is more an analysis of medical and indirect costs of care will be performed.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| RFA of AVNRT of AVRT |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| RFA | Procedure | radiofrequency ablation of slow pathway or accesory pathway |
|
| Measure | Description | Time Frame |
|---|---|---|
| Health-related quality of life (HRQOL) | Mean score of Patient Perception of Arrhythmia Questionnaire (PPAQ) - a disease-specific QoL questionnaire for patients suffering from supraventricular tachycardia translated and validated according to ISPOR (International Society For Pharmacoeconomics and Outcomes Research) guidelines | two months |
| Measure | Description | Time Frame |
|---|---|---|
| Utility of health state | Mean score of EQ-5D - a generic questionnaire measuring a health state utility (official Polish translation) | two months |
| Medical and indirect cost | Cross-sectional data gathered using original questionnaire designed to measure medical and indiresct costs related to arrhythmia incurred during a year preceding RFA |
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Inclusion Criteria:
Exclusion Criteria:
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All patients scheduled for ablation of AVNRT, AVRT or SVT will be eligible for the study.
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| Name | Affiliation | Role |
|---|---|---|
| Mariusz Pytkowski, MD, PhD | National Institute of Cardiology, Warsaw, Poland | Study Chair |
| Michal M Farkowski, MD | National Institute of Cardiology, Warsaw, Poland | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Institute of Cardiology, II Dept. of Coronary Heart Disease | Warsaw | 02-637 | Poland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 24919538 | Result | Farkowski MM, Pytkowski M, Maciag A, Golicki D, Wood KA, Kowalik I, Kuteszko R, Szwed H. Gender-related differences in outcomes and resource utilization in patients undergoing radiofrequency ablation of supraventricular tachycardia: results from Patients' Perspective on Radiofrequency Catheter Ablation of AVRT and AVNRT Study. Europace. 2014 Dec;16(12):1821-7. doi: 10.1093/europace/euu130. Epub 2014 Jun 11. | |
| 24293142 |
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| ID | Term |
|---|---|
| D013611 | Tachycardia, Atrioventricular Nodal Reentry |
| ID | Term |
|---|---|
| D054139 | Tachycardia, Reciprocating |
| D013610 | Tachycardia |
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
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| one year |
| Willingness-to-pay | a cross-sectional willingness-to-pay questionnaire studying hypothetical situation where RFA was not financed by Polish Health Fund | one day |
| Effectiveness | Data on medical history, final diagnosis, outcome of treatment, safety and future recommendations | two days |
| Result |
| Farkowski MM, Pytkowski M, Golicki D, Szumowski L, Wood KA, Szwed H. Translation and cultural adaptation of a Patient Perception of Arrhythmia Questionnaire in Poland. Kardiol Pol. 2014;72(3):246-53. doi: 10.5603/KP.a2013.0318. Epub 2013 Dec 2. |
| 27488509 | Derived | Farkowski MM, Pytkowski M, Maciag A, Golicki D, Kowalik I, Czech M, Rucinski P, Szwed H. Patient's age rather than severity of the arrhythmia influences the cost of medical treatment of atrioventricular nodal or atrioventricular reciprocating tachycardia. J Interv Card Electrophysiol. 2016 Nov;47(2):197-202. doi: 10.1007/s10840-016-0167-9. Epub 2016 Aug 3. |
| D002318 |
| Cardiovascular Diseases |
| D000075224 | Cardiac Conduction System Disease |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |