Impact on ventricular function and quality of life of transcatheter ablation of the atrioventricular junction in chronic atrial fibrillation with a normal ventricular response

被引:87
作者
Natale, A
Zimerman, L
Tomassoni, G
Kearney, M
Kent, V
Brandon, MJ
Newby, K
机构
[1] VA Medical Center, Duke University Medical Center, Durham, NC
[2] Durham VA Medical Center, Box 111A, Durham, NC 27705
关键词
D O I
10.1016/S0002-9149(97)89296-X
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We assessed left ventricular function and quality of life after atrioventricular junction ablation and pacemaker implant in 14 patients with chronic atrial fibrillation and normal ventricular response. A significant improvement in left ventricular ejection fraction, fractional shortening, and functional capacity were observed at follow-up, suggesting that in patients with chronic atrial fibrillation a regular heart beat may be preferable over rate control.
引用
收藏
页码:1431 / &
页数:4
相关论文
共 15 条
[1]   INFLUENCE OF ATRIOVENTRICULAR JUNCTION RADIOFREQUENCY ABLATION IN PATIENTS WITH CHRONIC ATRIAL-FIBRILLATION AND FLUTTER ON QUALITY-OF-LIFE AND CARDIAC-PERFORMANCE [J].
BRIGNOLE, M ;
GIANFRANCHI, L ;
MENOZZI, C ;
BOTTONI, N ;
BOLLINI, R ;
LOLLI, G ;
ODDONE, D ;
GAGGIOLI, G .
AMERICAN JOURNAL OF CARDIOLOGY, 1994, 74 (03) :242-246
[2]   VENTRICULAR RESPONSE DURING IRREGULAR ATRIAL-PACING AND ATRIAL-FIBRILLATION [J].
CHORRO, FJ ;
KIRCHHOF, CJHJ ;
BRUGADA, J ;
ALLESSIE, MA .
AMERICAN JOURNAL OF PHYSIOLOGY, 1990, 259 (04) :H1015-H1021
[3]   CATHETER TECHNIQUE FOR CLOSED-CHEST ABLATION OF THE ATRIOVENTRICULAR-CONDUCTION SYSTEM - A THERAPEUTIC ALTERNATIVE FOR THE TREATMENT OF REFRACTORY SUPRA-VENTRICULAR TACHYCARDIA [J].
GALLAGHER, JJ ;
SVENSON, RH ;
KASELL, JH ;
GERMAN, LD ;
BARDY, GH ;
BROUGHTON, A ;
CRITELLI, G .
NEW ENGLAND JOURNAL OF MEDICINE, 1982, 306 (04) :194-200
[4]  
GIBSON DG, 1971, BRIT HEART J, V33, P388
[5]   IMPROVEMENT IN LEFT-VENTRICULAR SYSTOLIC FUNCTION AFTER SUCCESSFUL RADIOFREQUENCY HIS-BUNDLE ABLATION FOR DRUG REFRACTORY, CHRONIC ATRIAL-FIBRILLATION AND RECURRENT ATRIAL-FLUTTER [J].
HEINZ, G ;
SIOSTRZONEK, P ;
KREINER, G ;
GOSSINGER, H .
AMERICAN JOURNAL OF CARDIOLOGY, 1992, 69 (05) :489-492
[6]   CARDIAC-OUTPUT AND VARYING R-R INTERVAL OF ATRIAL-FIBRILLATION [J].
HERBERT, WH .
JOURNAL OF ELECTROCARDIOLOGY, 1973, 6 (02) :131-135
[7]   EFFECT OF CATHETER ABLATION OF THE ATRIOVENTRICULAR JUNCTION ON QUALITY OF LIFE AND EXERCISE TOLERANCE IN PAROXYSMAL ATRIAL-FIBRILLATION [J].
KAY, GN ;
BUBIEN, RS ;
EPSTEIN, AE ;
PLUMB, VJ .
AMERICAN JOURNAL OF CARDIOLOGY, 1988, 62 (10) :741-744
[8]   HEMODYNAMICS OF INDUCED ATRIAL-FIBRILLATION - A COMPARATIVE-ASSESSMENT WITH SINUS RHYTHM, ATRIAL AND VENTRICULAR PACING [J].
LAU, CP ;
LEUNG, WH ;
WONG, CK ;
CHENG, CH .
EUROPEAN HEART JOURNAL, 1990, 11 (03) :219-224
[9]   COMPARISON OF HIGH-ENERGY DIRECT-CURRENT AND RADIOFREQUENCY CATHETER ABLATION OF THE ATRIOVENTRICULAR JUNCTION [J].
OLGIN, JE ;
SCHEINMAN, MM .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1993, 21 (03) :557-564
[10]   THE CONTRACTILE STATE OF CAT AND DOG HEART IN RELATION TO THE INTERVAL BETWEEN BEATS [J].
PIDGEON, J ;
LAB, M ;
SEED, A ;
ELZINGA, G ;
PAPADOYANNIS, D ;
NOBLE, MIM .
CIRCULATION RESEARCH, 1980, 47 (04) :559-567