Antiarrhythmic Therapy of Supraventricular Tachyarrhythmias: Which Role for the Drugs Today?
The technological improvements and the high success rate of catheter ablation in the management of patients with supraventricular arrhythmias as well as the physicians’ attraction to a “true therapeutic” approach may lead to an excessively interventional philosophy in which other therapeutic options, mainly pharmacologic treatment, is considered obsolete. In effect, catheter ablation presents some pitfalls that must be considered: there are complications, X-ray exposure, and studies of long-term follow-up are lacking. Thus this procedure cannot be considered a panacea for all patients with supraventricular arrhythmias.
KeywordsCatheter Ablation Accessory Pathway Supraventricular Arrhythmia Radiofrequency Catheter Ablation Reentrant Tachycardia
- 2.Hindricks G on behalf of the Multicenter European Radiofrequency Survey (MERFS) Investigators (1993) Incidence of complete atrioventricular block in 808 patients after radiofrequency modification of the atrioventricular node. Eur Heart J 14: (Suppl): 257 (abstr)Google Scholar
- 3.Vergara G, Visonà L, Mama G, Guarneiro M, Accardi R, Furlanello F (1990) Flecainide after the CAST: long-term follow-up (3 years) in patients with WPW syndrome responders to electropharmacological test. New Trends Arrhyth 6: 241–244Google Scholar
- 5.Catheter ablation of arrhythmias. A teaching workshop. Organizzato da Nethan AW, Borggrefe M, Kuck KH, Camm AJ, Londra 28–29 ottobre 1992Google Scholar
- 6.Hindricks G, Haverkamp W on behalf of the Multicentric European Radiofrequency Survey (MERFS) Investigators (1993) The Multicenter European Radiofrequency Survey: summary of the results - complications of radiofrequency catheter ablation of cardiac arrhythmias in 4372 Patients. Eur Heart 14: (Suppl): 256 (abstr)Google Scholar
- 8.Khanedani A, Schlitter M, Cappato R, Kuck KH (1994) Serial echocardiography to assess the incidence and clinical course of pericardial effusion following radiofrequency catheter ablation of accessory pathways. J Am Coll Cardiol (Special issue): 82 (abstr)Google Scholar