Atrial fibrillation
| Autor: | Michiel Rienstra, Bart Hooft van Huysduynen |
|---|---|
| Přispěvatelé: | Cardiovascular Centre (CVC) |
| Jazyk: | angličtina |
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Radiofrequency ablation medicine.medical_treatment Catheter ablation Pulmonary vein law.invention law Physiology (medical) Internal medicine medicine MANAGEMENT RADIOFREQUENCY ABLATION Prospective cohort study Paroxysmal AF ANTIARRHYTHMIC-DRUGS CATHETER ABLATION business.industry Atrial fibrillation Guideline medicine.disease Ablation Surgery Cardiology TRIAL Cardiology and Cardiovascular Medicine business |
| Zdroj: | Europace, 14(5), 613-614. Oxford University Press |
| ISSN: | 1532-2092 1099-5129 |
| Popis: | This editorial refers to ‘Association between left atrial size and atrial fibrillation recurrence after single circumferential pulmonary vein isolation: a systematic review and meta-analysis of observational studies’ by J. Zhuang et al. , on page 638 and ‘Prior antiarrhythmic drug use and the outcome of atrial fibrillation ablation’ by R.A. Winkle et al. , on page 646 Haissaguerre et al .1 have found that foci from pulmonary veins trigger the initiation of atrial fibrillation (AF), and subsequently, that isolating the pulmonary veins by catheter ablation reduced the recurrence of AF. The most recent European Society of Cardiology guidelines state that left atrial ablation should be considered (Class IIa recommendation) for symptomatic patients with either paroxysmal or persistent AF who have previously failed a trial of antiarrhythmic medication.2 In accordance with the guidelines, nowadays catheter ablation is undertaken in patients with symptomatic paroxysmal AF who have failed at least one antiarrhythmic drug. This guideline and current daily practice are supported by the results of several single-centre randomized studies, multicentre prospective studies, and meta-analyses comparing antiarrhythmic drug treatment with catheter ablation, showing the lower rates of AF recurrence after ablation.3–6 However, it … |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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