Abstract
Atrioventricular (AV) junctional ablation followed by pacemaker implantation is an established treatment for patients with refractory paroxysmal atrial arrhythmias. The stability of the underlying atrial rhythm after AV junctional ablation is unknown. This study evaluates the atrial rhythm after AV junctional ablation in 49 patients with medically refractory atrial arrhythmias. The group included 25 men and 24 women, of whom 36 had known structural heart disease. Paroxysmal atrial fibrillation was the primary rhythm disturbance in 41 patients, whereas 8 manifested either atrial tachycardias or atrial flutter. All patients had failed therapy with > or = 1 antiarrhythmic drug. Chronic pacing modes were DDIR or DDDR, with mode switching in 15 patients and VVIR in 34 patients. After AV junctional ablation, chronic antiarrhythmic drug therapy was prescribed in only 4 patients (8%). Routine electrocardiograms (ECGs; 6.5 +/- 6.1/patient) during long-term follow-up (18.6 +/- 15.6 months) showed that 7 patients (14%) had an atrial arrhythmia detected on all ECGs, 30 patients (61%) had sinus or atrial-paced rhythms on all recordings, and 12 patients (25%) had both atrial arrhythmias and sinus rhythm documented. Sinus or an atrial-paced r...Continue Reading
References
Aug 1, 1992·Pacing and Clinical Electrophysiology : PACE·G A LamasG C Flaker
Jun 1, 1992·Journal of the American College of Cardiology·A B HesselsonG J Bonavita
Jun 1, 1990·Pacing and Clinical Electrophysiology : PACE·K J FrohnerK K Steinbach
Dec 1, 1990·Pacing and Clinical Electrophysiology : PACE·K StanglH Blömer
Dec 1, 1990·Pacing and Clinical Electrophysiology : PACE·W GrimmK Kochsiek
Feb 1, 1991·Pacing and Clinical Electrophysiology : PACE·L A BeauregardH L Waxman
Feb 1, 1992·The American Journal of Cardiology·A D Bernstein, V Parsonnet
Apr 1, 1991·The American Journal of Cardiology·Y SasakiS Furuta
Mar 15, 1990·The American Journal of Cardiology·M SantiniG Turitto
Nov 1, 1986·Pacing and Clinical Electrophysiology : PACE·A MarkewitzC Weinhold
Nov 1, 1988·Pacing and Clinical Electrophysiology : PACE·Y SasakiT Homma
Dec 1, 1989·The American Journal of Cardiology·J M FeuerJ C Messenger
Feb 1, 1989·International Journal of Cardiology·B LemkeJ Barmeyer
Mar 1, 1988·The American Journal of Cardiology·K P KunzeK H Kuck
Jul 1, 1988·American Heart Journal·M RosenqvistH Schüller
Feb 1, 1986·American Heart Journal·M RosenqvistH Schüller
Jun 1, 1968·Annals of Internal Medicine·R H PeterT B Beach
Jan 28, 1982·The New England Journal of Medicine·J J GallagherG Critelli
Mar 1, 1981·Japanese Heart Journal·N TakahashiJ Fujii
Nov 1, 1994·Pacing and Clinical Electrophysiology : PACE·C MenozziN Bottoni
Oct 1, 1994·Journal of Cardiovascular Electrophysiology·S NathD E Haines
Dec 3, 1994·Lancet·H R AndersenP E Thomsen
Feb 1, 1994·Australian and New Zealand Journal of Medicine·J WongD Hunt
Citations
Dec 19, 2000·Heart·T LevyV Paul
Aug 19, 2003·Heart·A QueirogaM D Gammage
Oct 30, 1998·Pacing and Clinical Electrophysiology : PACE·E M BuysJ H Kingma
Nov 15, 2000·International Journal of Cardiology·T LevyV Paul
Mar 15, 2008·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Timothy R Betts
Aug 16, 2000·Circulation·A M GillisD G Wyse
Feb 28, 2001·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·M BrignoleR Sutton
Feb 28, 2001·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·J M McComb, G M Gribbin
Feb 28, 2001·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·L GianfranchiN Bottoni