Abstract
Controlling ventricular rate in patients with intermittent or chronic atrial fibrillation (AF), in whom it is not possible to maintain sinus rhythm through drug therapy, is often a problem. Control of ventricular rate is necessary because of invalidating palpitations and/or occurrence of hemodynamic impairment [1].
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Packer DL, Bardy GH, Worley SJ et al (1986) Tachycardia-induced cardiomyopathy: a reversible form of left ventricular disfunction. Am J Cardiol 57: 563–570
Rawles JM, Metcalfe MJ, Jennings J (1990) Time of occurrence, duration and ventricular rate of paroxysmal atrial fibrillation: the effect of digoxin. Br Heart J 63: 225–227
Anderson S, Blanski L, Byrd RC et al (1986) Comparison of the efficacy and safety of esmolol, a short-acting beta blocker, with placebo in the treatment of supraventricular tachyarrhythmias: the Esmolol Multicenter Study Group. Am Heart J 111: 42–48
Ellenbogen KA, Dias VC, Plumb VJ et al (1991) A placebo-controlled trial of continuous intravenous diltiazem infusion for 24 hour rate control during atrial fibrillation and atrial flutter: a multicenter study. J Am Coll Cardiol 18: 891–897
Flacker GC, Blackshear JL, McBride R et al (1992) Antiarrhythmic drug therapy and cardiac mortality in atrial fibrillation: the Stroke Prevention in Atrial Fibrillation Investigators. J Am Coll Cardiol 20: 527–532
Roth A, Harrison E, Mitani G et al (1986) Efficacy and safety of medium-and high-dose diltiazem alone and in combination with digoxin for control of heart rate at rest and during exercise in patients with cronical atrial fibrillation. Circulation 73: 316–324
Langberg JJ, Chin MC, Rosenquist M et al (1989) Catheter ablation of the atrioventricular junction with radiofrequency energy. Circulation 80: 1527–1535
Williamson BD, Man KC, Daoud E et al (1994) Radiofrequency catheter modification of atrioventricular conduction to control the ventricular rate during atrial fibrillation. New Engl J Med 331: 910–917
Duckeck W, Engelstein ED, Kuck KH (1993) Radiofrequency current therapy in atrial tachyarrhythmias. Modulation versus ablation of atrioventricular nodal conduction. PACE 16 (II): 629–636
Lee MA, Morady F, Kadish A et al (1991) Catheter modification of the atrioventricular junction with radiofrequency energy for control of atrioventricular nodal reentry tachycardia. Circulation 8: 827–835
Fleck RP, Chen PS, Boyce K et al (1993) Radiofrequency modification of atrioventricular conduction by selective ablation of the low posterior septal right atrium in a patient with atrial fibrillation and a rapid ventricular response. PACE 16: 377–381
Blanck Z, Dhala AA, Sra J et al (1995) Characterization of atrioventricular nodal behaviour and ventricular response during atrial fibrillation before and after a selective slow-pathway ablation. Circulation 91: 1086–1094
Kreiner G, Gottfried H, Siostrzoneck P et al (1996) Effect of slow pathway ablation on ventricular rate during atrial fibrillation. Circulation 93: 277–283
Feld GK, Fleck RP, Fujimura O et al (1994) Control of rapid ventricular response by radiofrequency catheter modification of the atrioventricular node in patients with medically refractory atrial fibrillation. Circulation 90: 2299–2307
Brignole M, Menozzi C, Gianfranchi L et al (1995) Single-session step-wise radiofrequency catheter modification of atrioventricular conduction in patients with paroxysmal atrial fibrillation. Eur J Cardiac Pacing Electrophysiol 5: 18–22
Della Bella P, Carbucicchio C, Tondo C et al (1995) Modulation of atrioventricular conduction by ablation of the “slow” atrioventricular node pathway in patients with drug refractory atrial fibrillation or flutter. J Am Coll Cardiol 25: 39–46
Jackman WM, Beckman KJ, McClelland JH et al (1992) Treatment of supraventricular tachycardia due to atrioventricular nodal reentry by radiofrequency catheter of slow pathway conduction. New Engl J Med 327: 313–318
Chen SA, Lee SH, Chiang CE et al (1996) Electrophysiological mechanisms in successful radiofrequency modification of atrioventricular junction for patients with medically refractory paroxysmal atrial fibrillation. Circulation 93: 1690–1701
Janse MJ, Anderson RH, McGuire MA et al (1993) “AV nodal reentry”: I. “AV nodal” revisited. J Cardiovasc Electrophysiol 4: 561
Ross DL, Johnson DC, Denniss AR et al (1985) Curative surgery for atrioventricular junctional (“AV nodal”) reentrant tachycardia. J Am Coll Cardiol 6: 1383–1392
Watanabe Y, Watanabe M (1994) Impulse formation and conduction of excitation in the atrioventricular node. J Cardiovasc Electrophysiol 5: 517–531
Toivonen L, Kadish A, William K et al (1990) Determinants of the ventricular rate during atrial fibrillation. J Am Coll Cardiol 16: 1194–1200
Daoud EG, Weiss R, Bahu M et al (1996) Effect of an irregular ventricular rhythm on cardiac output. Am J Cardiol 78: 1433–1436
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1998 Springer-Verlag Italia
About this chapter
Cite this chapter
Bonso, A., Themistoclakis, S., Gasparini, G., Raviele, A. (1998). AV Junction Modification for Atrial Fibrillation: Which End Points?. In: Raviele, A. (eds) Cardiac Arrhythmias 1997. Springer, Milano. https://doi.org/10.1007/978-88-470-2288-1_9
Download citation
DOI: https://doi.org/10.1007/978-88-470-2288-1_9
Publisher Name: Springer, Milano
Print ISBN: 978-88-470-2290-4
Online ISBN: 978-88-470-2288-1
eBook Packages: Springer Book Archive