Arrhythmias Following Patent Foramen Ovale Closure: An Unsolved Enigma
2024

Arrhythmias After Patent Foramen Ovale Closure

publication Evidence: moderate

Author Information

Author(s): Karanikola Aikaterini-Eleftheria, Soulaidopoulos Stergios, Leontsinis Ioannis, Dri Eirini, Sagris Marios, Kordalis Athanasios, Aznaouridis Konstantinos, Tsiachris Dimitrios, Tsioufis Konstantinos

Primary Institution: First Department of Cardiology, Hippokration Hospital, Athens Medical School, National and Kapodistrian University of Athens

Hypothesis

What are the incidence and mechanisms of supraventricular arrhythmias following patent foramen ovale closure?

Conclusion

Supraventricular arrhythmias are a common complication after patent foramen ovale closure, with incidence rates varying significantly among studies.

Supporting Evidence

  • Earlier studies reported the incidence of arrhythmias after PFO closure to be around 3.4–7%, but recent studies show it has risen to 21%.
  • Mechanical irritation and inflammation are believed to contribute to the increased risk of arrhythmias post-procedure.
  • Older age and diabetes are identified as predictors for developing arrhythmias after PFO closure.

Takeaway

When doctors close a hole in the heart called a patent foramen ovale, some patients might get a fast heartbeat called arrhythmia. This happens more often than we thought, especially soon after the procedure.

Methodology

This review summarizes existing studies on the incidence, pathogenesis, and management of supraventricular arrhythmias after PFO closure.

Limitations

The review highlights a lack of effective preventive measures and the need for more extensive studies to clarify the incidence and management of arrhythmias.

Digital Object Identifier (DOI)

10.3390/life14121590

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