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Related Experiment Videos

[Atrial fibrillation: current trends].

D Bonhorst1

  • 1Serviço de Cardiologia, Hospital de Santa Cruz.

Revista Portuguesa De Cardiologia : Orgao Oficial Da Sociedade Portuguesa De Cardiologia = Portuguese Journal of Cardiology : an Official Journal of the Portuguese Society of Cardiology
|August 29, 2000
PubMed
Summary
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Ablation of pulmonary vein foci for the treatment of atrial fibrillation; percutaneous electroanatomical guided approach.

Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology·2002
Same author

Implantable cardioverter-defibrillator: beyond efficacy.

Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology·2002
Same author

[National Pacing Registry -- 1999].

Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology·2002
Same author

[National registry of non-invasive electrocardiology in 1999].

Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology·2002
Same author

[National electrophysiology registries for the year 2000].

Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology·2001
Same author

[Certification in interventional electrophysiology].

Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology·2001

Atrial fibrillation (AF) is a serious arrhythmia, not benign. New data on maintaining sinus rhythm, including drug efficacy and surgical options, are reviewed for managing this common cause of hospitalization and mortality.

Area of Science:

  • Cardiology
  • Electrophysiology
  • Internal Medicine

Context:

  • Atrial fibrillation (AF) is increasingly recognized as a significant arrhythmia, being the primary arrhythmic cause of hospitalization.
  • Maintaining sinus rhythm is crucial, as AF is an independent predictor of mortality.
  • The duration of AF impacts cardioversion success due to electrical remodeling.

Purpose:

  • To review current data on atrial fibrillation management, focusing on conversion to sinus rhythm.
  • To evaluate new therapeutic strategies, including pharmacological and non-pharmacological options.
  • To discuss the evolving role of interventions like transesophageal echocardiography and catheter ablation.

Summary:

  • New data on low-energy internal atrial defibrillation and drugs like ibutilide are presented.

Related Experiment Videos

  • Transesophageal echocardiography's role in shortening anticoagulation before DC shock is examined.
  • Advances in surgical and catheter ablation techniques, including pulmonary vein isolation, are discussed.

    • Impact:

    • The review highlights the heterogeneity of AF, suggesting a need for diverse therapeutic approaches.
    • Pharmacological therapy remains central, with non-pharmacological options for refractory cases.
    • Ongoing studies like AFFIRM aim to resolve the sinus rhythm versus rate control debate.