Atrial fibrillation: The role of atrial defibrillation

被引:0
|
作者
Santini, M [1 ]
Ricci, R [1 ]
机构
[1] San Filippo Neri Hosp, Dept Cardiol, I-00135 Rome, Italy
关键词
atrial fibrillation; atrial defibrillator; dual chamber defibrillator; internal cardioversion; shock tolerance;
D O I
10.1023/A:1026244726090
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Dual defibrillator implantation represents an emerging option to treat patients with drug refractory atrial fibrillation. Atrial antitachycardia pacing and cardioversion have been demonstrated to be highly effective in treating spontaneous tachyarrhythmias and may reduce atrial fibrillation burden by preventing atrial remodeling. Device implantation has been associated to improved quality of life and reduced hospitalization rate. Patient selection and tailored device programming are critical as regard to clinical outcome. Individual psychological profile analysis as well as underlying heart disease and atrial fibrillation clinical patterns represent the main drivers for the right strategy. Controlled studies are needed in order to define the subset of patients who can benefit more from device implantation.
引用
收藏
页码:229 / 233
页数:5
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