AV-Nodal Ablation versus AV-Nodal Modification for Control of Atrial Fibrillation
In 1982, the first direct-current catheter-based interruption of the AV junction for medically-refractory atrial fibrillation in a human, was described . Since that time, catheter ablation approaches have increased massively in number, complexity and technical capability. In spite of these momentous advances, atrial fibrillation is still commonly treated by AV junctional ablation and subsequent permanent pacing.
KeywordsAtrial Fibrillation Atrial Flutter Ventricular Rate Chronic Atrial Fibrillation Ventricular Rhythm
Unable to display preview. Download preview PDF.
- 6.Brignole M, Gianfranchi L, Menozzi C, Bottoni N, Bollini R, Lolli G, Oddone D, Gaggioli G (1994) Influence of atrioventricular junction radiofrequency ablation in patients with chronic atrial fibrillation and flutter on quality of life and cardiac performance. Am J Cardiol 74: 242–246PubMedCrossRefGoogle Scholar
- 8.Einthoven W, Kortweg A (1915) On the variability of the size of the pulse in cases of auricular fibrillation. Heart 6: 107–120Google Scholar
- 9.Katz LN, Feil HS (1923) Clinical observations on the dynamics of ventricular systole. I. Auricular fibrillation. Ann Intern Med 32: 672–692Google Scholar
- 10.Braunwald E, Frye RL, Aygen MM (1960) Studies on Starling’s law of the heart: III. Observations in patients with mitral stenosis and atrial fibrillation on the relationships between left ventricular end-diastolic segment length, filling pressure, and the characteristics of ventricular contraction. J Clin Invest 39: 1874–1884Google Scholar
- 11.Siebens AA, Hoffman BF, Cranefield PF et al (1959) Regulation of contractile force during ventricular arrhythmias. Am J Physiol 197: 971–977Google Scholar
- 15.Dritsas A, Ciaramella F, Oakley C et al (1994) Beat-to-beat hemodynamics during atrial fibrillation: observations in normal and impaired left ventricular function. J Am Coll Cardiol 23: 484AGoogle Scholar