Document Detail


Radiofrequency energy modification of the atrioventricular junction in patients with atrial fibrillation: modes of ventricular response under autonomic blockade and long-term effect.
MedLine Citation:
PMID:  11584452     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The short- and long-term effect of radiofrequency (RF) modification of the AV junction on ventricular rate and left ventricular function and the different types of ventricular response during energy application under autonomic nervous blockade were assessed in 28 patients with medically refractory atrial fibrillation. During the successful RF application, ventricular rate slowed progressively (type I response, ten patients) or accelerated at first and then slowed (type II response, 11 patients). Type II response was associated with a more anterior ablation site compared to Type I response. A primary successful outcome was achieved in 21 patients. Inadvertent complete AV block developed in three patients, while in four patients AV nodal ablation was performed after an unsuccessful modification attempt. During 6-month follow-up, the ventricular rate was adequately controlled in only four patients. Among the 16 patients with a recurrence of uncontrolled AF were all 10 patients with type I response and 6 of 11 patients with type II response. One patient died suddenly 10 weeks after the procedure.
Authors:
H D Kriatselis; K Goehl; P Richter; S Helbig; J Sindermann; M Gottwik
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Pacing and clinical electrophysiology : PACE     Volume:  24     ISSN:  0147-8389     ISO Abbreviation:  Pacing Clin Electrophysiol     Publication Date:  2001 Sep 
Date Detail:
Created Date:  2001-10-04     Completed Date:  2002-02-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7803944     Medline TA:  Pacing Clin Electrophysiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1312-20     Citation Subset:  IM    
Affiliation:
Electrophysiology Laboratory, General Hospital of Nuremberg, Nuremberg, Germany. kriatselis@t-online.de
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Atrial Fibrillation / physiopathology,  surgery*
Atrioventricular Node / physiopathology,  surgery*
Autonomic Nerve Block*
Autonomic Nervous System / physiopathology*
Catheter Ablation*
Electrocardiography, Ambulatory
Female
Follow-Up Studies
Heart / innervation*
Heart Block / diagnosis,  physiopathology
Heart Rate / physiology
Humans
Male
Middle Aged
Postoperative Complications / diagnosis,  physiopathology
Prospective Studies
Ventricular Function, Left / physiology

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


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