Document Detail


Is catheter ablation a mature fruit for treatment of atrial fibrillation?--is catheter ablation established as a treatment optionof atrial fibrillation? (Con).
MedLine Citation:
PMID:  20716833     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In recent years, catheter ablation for atrial fibrillation (AF) has evolved in tandem with the results from many large-scale randomized clinical studies with antiarrhythmic drugs. The current situations seem to be a concerted move from pharmacological to non-pharmacological treatment. However, the clinical studies with medications have revealed an important viewpoint for the management of AF: the importance of the core aim of AF treatment and the position of electrographic findings as a surrogate marker. Catheter ablation is under challenge as the answers to these issues are awaited. Moreover, many problems with this invasive therapy are to be solved, most of them deriving from the vague definition of success of ablation and no standardization of the technique. For these reasons, catheter ablation is still on the way to maturation and multicenter studies in Japan are required to set a fair benchmark for Japanese patients, drawing a lesson from randomized clinical studies with medications.
Authors:
Takeshi Yamashita
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Publication Detail:
Type:  Comment; Journal Article     Date:  2010-08-12
Journal Detail:
Title:  Circulation journal : official journal of the Japanese Circulation Society     Volume:  74     ISSN:  1347-4820     ISO Abbreviation:  Circ. J.     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-31     Completed Date:  2010-12-22     Revised Date:  2011-02-18    
Medline Journal Info:
Nlm Unique ID:  101137683     Medline TA:  Circ J     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1978-82     Citation Subset:  IM    
Affiliation:
The Cardiovascular Institute, Tokyo, Japan. yamt-tky@umin.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Anti-Arrhythmia Agents / therapeutic use
Atrial Fibrillation / therapy*
Catheter Ablation / methods*,  standards
Humans
Treatment Outcome
Chemical
Reg. No./Substance:
0/Anti-Arrhythmia Agents
Comments/Corrections
Comment On:
Circ J. 2010 Sep;74(9):1972-7   [PMID:  20716832 ]

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