Document Detail


Antiarrhythmic surgery to cure atrial fibrillation--subgroups and postoperative management.
MedLine Citation:
PMID:  14739725     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Antiarrhythmic surgical procedures to cure atrial fibrillation (AF) are widely used in cardiac surgery. Whereas the Cox maze procedure remains the highly effective gold-standard a variety of different antiarrhythmic procedures aim at reducing the extent and duration of the procedure. Antiarrhythmic procedures are especially effective in patients undergoing mitral valve surgery. In 110 patients with permanent AF undergoing various surgical procedures sinus rhythm was re-established in 75%. Subgroup analyses revealed no significant differences in rhythm or survival after antiarrhythmic intraoperative ablation indicating the usefulness and feasibility of this procedure in patients with a wide range of characteristics. Because conversion usually occurs spontaneously within the first 6 months and antiarrhythmic medication does not increase the incidence of conversion it seems reasonable to wait for spontaneous occurrence of sinus rhythm after antiarrhythmic intraoperative ablation. In patients with permanent AF undergoing open heart surgery additional antiarrhythmic procedures have been shown to be safe and effective.
Authors:
Thomas Deneke; Krishna Khargi; Peter H Grewe; Frank Kuschkowitz; Axel Laczkovics; Bernd Lemke
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiac electrophysiology review     Volume:  7     ISSN:  1385-2264     ISO Abbreviation:  Card Electrophysiol Rev     Publication Date:  2003 Sep 
Date Detail:
Created Date:  2004-01-23     Completed Date:  2004-06-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9708907     Medline TA:  Card Electrophysiol Rev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  259-63     Citation Subset:  IM    
Affiliation:
Clinic II (Cardiology), Bergmannsheil Bochum, Germany. thomas.deneke@ruhr-uni-bochum.de
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MeSH Terms
Descriptor/Qualifier:
Anti-Arrhythmia Agents / therapeutic use
Atrial Fibrillation / drug therapy,  mortality,  physiopathology,  surgery*
Catheter Ablation
Electric Countershock
Heart Atria / surgery
Heart Conduction System / physiopathology
Humans
Chemical
Reg. No./Substance:
0/Anti-Arrhythmia Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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