Catheter ablation of atrial fibrillation should be offered as primary therapy: what's your hurry?

Autor:	Wedam EF; Department of Cardiology, Johns Hopkins Community Physicians Heart Care, 8600 Old Georgetown Road, Bethesda, MD 20814, USA; Division of Cardiology, Department of Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA., Haigney MC; Division of Cardiology, Department of Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. Electronic address: mark.haigney@usuhs.edu.
Jazyk:	angličtina
Zdroj:	Cardiac electrophysiology clinics [Card Electrophysiol Clin] 2015 Sep; Vol. 7 (3), pp. 385-93. Date of Electronic Publication: 2015 Jul 02.
DOI:	10.1016/j.ccep.2015.05.020
Abstrakt:	The appropriate initial treatment of a middle-aged individual with symptomatic paroxysms of atrial fibrillation, diabetes, and hypertension should focus on eliminating the underlying causes of disease to safely reduce morbidity and prolong life. An initial strategy using ablation temporarily reduces arrhythmia symptoms and exposes the individual to potentially needless risk and repeat procedures. Randomized trials have not established the superiority of ablation to antiarrhythmic drugs with respect to prolonging life or reducing serious morbidity. It is appropriate to treat modestly symptomatic individuals with antiarrhythmic drugs while performing aggressive risk factor modification. (Published by Elsevier Inc.)
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu