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Atrial fibrillation is the result of multiple coexisting and variable atrial reentrant wavelets. In contrast, atrial flutter is the result of a single right atrial macroreentrant circuit. Spontaneous conversion of atrial fibrillation into stable atrial flutter is rare. However, development of...
The pharmacological and ablative hybrid-therapy can be applied in patients who convert from atrial fibrillation to atrial flutter during drug therapy. This type of hybrid approach consists of catheter ablation of the induced AFl and continuation of the AFl-inducing drug to prevent from atrial...
Maintenance of sinus rhythm in patients with recurrent atrial fibrillation is often difficult to achieve with drug therapy alone. To date, new pacing therapies are available to support atrial resynchronization. Patients with a conventional pacemaker indication plus paroxysmal atrial fibrillation...
Antiarrhythmic surgery based on the Cox-maze procedure can effectively restore sinusrhythm in patients with even long-lasting chronic permanent atrial fibrillation. To make these procedure easier and faster to perform different modes of inducing linear atrial lesions have been proposed. The...
Atrial fibrillation is associated with changes in atrial electrophysiology that facilitate the initiation and persistance of the arrhythmia. The pulmonary vein ablation represents a novel, possibly curative approach to treat atrial fibrillation and to install a stable sinus rhythm allowing a...
Patients with severe congestive heart failure (CHF) and cardiac resynchronization therapy often suffer from supraventricular and ventricular tachyarrhythmias. Atrial fibrillation is a common arrhythmia in CHF and may worsen its prognosis by further reduction of the left ventricular function. The...
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