Abstract
With the introduction of ablative techniques, although we are now able to offer a permanent cure for a variety of arrhythmias, the management of atrial fibrillation remains a frustrating challenge. The conversion and maintenance of sinus rhythm is the initial step when treating the patient presenting with new-onset atrial fibrillation. If this cannot be achieved and the arrhythmia becomes chronic, the main goal changes to the control of the ventricular response and the prevention of thromboembolic events.
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References
Boston Area Anticoagulation Trial for Atrial Fibrillation Investigators (1990) The effects of low-dose warfarin on the risk of stroke in patients with nonrheumatic atrial fibrillation. N Engl J Med 323:1505–1511
Coplen SE, Antman AM, Berlin JA, Hewitt P, Chalmers TC (1990) Efficacy and safety of quinidine therapy for maintenance of sinus rhythm after cardioversion. A meta-analysis of randomized control trials. Circulation 82:1106–1116
Cox JL, Schuessler RB, D’Agostino HJ, Stone LM, Chang BC, Cain ME, Corr PB, Boineau JP (1991) The surgical treatment of atrial fibrillation: III. Development of a definitive surgical procedure. J Thorac Cardiovasc Surg 101:569–583
Echt DS, Liebson PR, Mitchell B, Peters RW, Obias-Manno D, Barker AH, Arensberg D, Baker A, Friedman L, Greene L, Huther ML, Richardson DW, CAST investigators (1991) Mortality and morbidity in patients receiving encainide, flecainide, or placebo. N Engl J Med 324:781–788
Jackman WM, Wang X, Friday KJ, Fitzgerald DM, Roman C, Moulton K, Margolis PD, Bowman AJ, Kuck KH, Nacarelli GV, Ptiha JV, Dyer J, Lazzara R (1991) Catheter ablation of atrioventricular junction using radiofrequency current in 17 patients. Comparison of standard and large-tip catheter electrodes. Circulation 83:1562–1576
Juul-Moller S, Edvardson N, Rehnqvist-Ahlberg N (1990) Sotalol versus quinidine for the maintenance of sinus rhythm after direct current conversion of atrial fibrillation. Circulation 82:1932–1939
Langberg JJ, Chin M, Schamp DJ, Lee MA, Goldberger J, Pederson DN, Oeff M, Lesh MD, Griffin JC, Scheinman MM (1991) Ablation of the atrioventricular junction with radiofrequency current energy using a new electrode catheter. Am J Cardiol 67:142–147
Leitch JW, Klein G, Yee R, Guiraudon G (1991) Sinus node-atrioventricular isolation: long-term results with the corridor operation for atrial fibrillation. J Am Coll Cardiol 17:970–975
Petersen P, Boysen G, Godtfredsen J, Andersen ED, Andersen B (1989) Placebo-controlled, randomized trial of warfarin and aspirin for prevention of thromboembolic complications in chronic atrial fibrillation: the Copenhagen AFASAK study. Lancet 1:175–179
Pietersen AH, Helleman H (for the Danish-Norwegian Flecainide Study Group) (1991) Am J Cardiol 67:713–717
Pritchett ELC, Wilkinson WE (1991) Mortality in patients treated with flecainide and encainide for supraventricular arrhythmias. Am J Cardiol 67:976–980
Pritchett ELC, DaTorre SD, Platt ML, McCarville SE, Hougham AJ (for the Flecainide Supraventricular Tachycardia Group) (1991) J Am Coll Cardiol 17:297–303
Rosenqvist M, Lee MA, Moulinier L, Sprigberg MJ, Abbott JA, Wu J, Langberg JJ, Griffin JC, Sheinman MM (1990) Long-term follow-up of patients after transcatheter direct current ablation of the atrioventricular junction. J Am Coll Cardiol 16:1467–1474
Stroke Prevention in Atrial Fibrillation Investigators (1991) Stroke Prevention in Atrial Fibrillation Study: final results. Circulation 84:527–539
Sousa J, El-Atassi R, Rosenheck S, Calkins H, Langberg J, Morady F (1991) Radiofrequency ablation of the atrioventricular junction from the left ventricle. Circulation 84:567–571
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© 1992 Springer-Verlag Berlin Heidelberg
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Kuck, KH., Gursoy, S. (1992). Atrial Fibrillation: A European Perspective. In: Campbell, R.W.F., Janse, M.J. (eds) Cardiac Arrhythmias: The Management of Atrial Fibrillation. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-30492-1_6
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DOI: https://doi.org/10.1007/978-3-662-30492-1_6
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-55588-9
Online ISBN: 978-3-662-30492-1
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