Atrial Fibrillation: The Role of Atrial Defibrillation

被引：0
作者：
Massimo Santini
Renato Ricci
机构：
[1] San Filippo Neri Hospital,Department of Cardiology
来源：
Journal of Interventional Cardiac Electrophysiology | 2003年 / 9卷
关键词：
atrial fibrillation; atrial defibrillator; dual chamber defibrillator; internal cardioversion; shock tolerance;
D O I：
暂无
中图分类号：
学科分类号：
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：4
相关论文
共 142 条
[1]  
Wolf PA(1998)Impact of atrial fibrillation on mortality, stroke and medical costs Arch Intern Med 158 229-234
[2]  
Mitchell JB(1982)Epidemiologic features of chronic atrial fibrillation New Engl J Med 306 1018-1022
[3]  
Baker CS(1991)Atrial fibrillation as an independent risk factor for stroke: The Framingham study Stroke 22 983-988
[4]  
Kannel WB(1994)Quality of life assessment in patients with paroxysmal atrial fibrillation or paroxysmal supraventricular tachycardia Am J Cardiol 74 826-829
[5]  
D'Agostino RB.(1993)Recurrence of paroxysmal atrial fibrillation or flutter after successful cardioversion in patients with normal left ventricle function Am J Cardiol 71 710-713
[6]  
Kannel WB(2001)Worldwide clinical experience with a new dual chamber implantable cardioverter defibrillator system J Cardiovasc Electrophysiol 12 521-528
[7]  
Abbot RD(2002)Efficacy of a dual chamber defibrillator with atrial antitachycardia functions in treating spontaneous atrial tachyarrhythmias in patients with life-threatening ventricular tachyarrhythmias Eur Heart J 23 1471-1479
[8]  
Savage DD(2001)Efficacy of pacing therapies for treating atrial tachyarrhythmias in patients with ventricular arrhythmias receiving a dual-chamber implantable cardioverter defibrillator Circulation 104 887-892
[9]  
McNamara PM.(2001)Atrial therapies reduce atrial arrhythmia burden in defibrillator patients Circulation 104 1023-1028
[10]  
Wolf PA(2001)Clinical experience with a dual chamber implantable cardioverter defibrillator to treat atrial tachyarrhythmias J Cardiovasc Electrophysiol 12 1247-1253
12345678910