Prevention of atrial fibrillation by inter-atrial septum pacing guided by electrophysiological testing, in patients with delayed interatrial conduction

Autor: C Vassilopoulos, Athanasios G. Manolis, N E Louvros, Apostolos Katsivas, D Koutsogeorgis
Rok vydání: 2002
Předmět:
Zdroj: Europace. 4:165-174
ISSN: 1099-5129
DOI: 10.1053/eupc.2002.0232
Popis: Aims Interatrial septum (IAS) pacing seems efficient in synchronizing atrial depolarization in patients (pts) with delayed inter-atrial conduction, but its clinical role in preventing atrial tachyarrhythmias is still debated. This study was conducted in order to evaluate the clinical efficacy of IAS pacing guided by pace mapping of the IAS, as an alternative treatment modality in pts with drug refractory paroxysmal atrial fibrillation (PAF). Methods and Results We evaluated 29 pts (13 male, 16 female, 6011 years), with drug refractory PAF, normal sinus node function and prolonged inter-atrial conduction time (P wave 14210 ms). Multipolar catheters were inserted and the electrograms from the high right atrium (HRA) and proximal, middle and distal coronary sinus (CS) were recorded. The IAS was paced from multiple sites. The site of IAS where the timing between HRA and distal CS was
Databáze: OpenAIRE