Catheter Ablation for Atrial Fibrillation

被引:10
作者
Thomas, Stuart P. [1 ,2 ]
Sanders, Prashanthan [3 ,4 ]
机构
[1] Univ Sydney, Westmead Hosp, Dept Cardiol, Westmead, NSW 2145, Australia
[2] Macquarie Univ, N Ryde, NSW 2109, Australia
[3] Royal Adelaide Hosp, CHRD, Adelaide, SA 5000, Australia
[4] Univ Adelaide, Adelaide, SA, Australia
关键词
Atrial fibrillation; Catheter ablation; Pulmonary veins; Pulmonary vein isolation; Cost effectiveness; Stroke; PULMONARY-VEIN ISOLATION; ANTIARRHYTHMIC-DRUG THERAPY; FOLLOW-UP; RADIOFREQUENCY ABLATION; SINUS RHYTHM; ACUTE STROKE; TASK-FORCE; RISK; MANAGEMENT; MORTALITY;
D O I
10.1016/j.hlc.2012.03.122
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Atrial fibrillation (AF) is the most common clinically important cardiac arrhythmia. It is an important cause of stroke, contributes to the burden of heart failure and is a major contributor to health expenditure. Percutaneous catheter ablation is superior to medical therapy in reducing AF recurrences. It has an important role in treatment of patients with failed drug therapy. Successful catheter ablation improves left ventricular function in patients with heart failure. In addition, it may be appropriate for selected highly symptomatic patients as first line therapy. Catheter ablation for AF has been shown in randomised trials to reduce hospital admissions and improve quality of life. There is evidence from registry data to suggest it reduces the risk of stroke and improves mortality. Cost effectiveness has been demonstrated by modelling studies in both Europe and the United States. (Heart, Lung and Circulation 2012;21:395-401) (C) Published by Elsevier Inc on behalf of Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ).
引用
收藏
页码:395 / 401
页数:7
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