PMID: 8945075Nov 1, 1996Paper

Combined transesophageal left atrial pacing and antiarrhythmic therapy in the treatment of atrial flutter

Pacing and Clinical Electrophysiology : PACE
G V MatiouchineS E Golovenkin

Abstract

In order to terminate atrial flutter (AF) overdrive transesophageal left atrial pacing (TELAP) was performed in 760 patients with paroxysmal AF. There were 315 women and 415 men (mean age 59 years). In 260 patients, TELAP was used in an outpatient setting. Approximately half of the patients (51%) had coronary artery disease and/or arterial hypertension, and 23% of the patients had no structural heart disease. The duration of AF ranged between 1 hour and 1 month. TELAP was performed in 312 patients without any antiarrhythmic drug (AAD) administration (group I) and in 448 patients after administration of AAD (procainamide and/or amiodarone) in conventional doses (group II). TELAP resulted in immediate return of sinus rhythm in 85 patients (27%) of group I and in 222 patients (50%) of group II (P < 0.001). TELAP converted AF to atrial fibrillation (AFIB) in 185 of group I and in 214 (48%) of the group II patients (P < 0.01). In addition, within 1-2 days after TELAP AFIB converted to sinus rhythm spontaneously or after AAD in 87 patients of group I (28%) and in 84 (19%) of the group II patients (P < 0.01). In general sinus rhythm was restored in 172 (55%) of the group I and in 306 (68%) of the group II patients (P < 0.005). AF was ...Continue Reading

References

Jan 1, 1979·Annual Review of Medicine·A L WaldoW A MacLean
Sep 1, 1987·Pacing and Clinical Electrophysiology : PACE·D C ChungJ Cooper
Jun 1, 1989·The American Journal of Medicine·W CrawfordG N Kay
Feb 1, 1988·Journal of the American College of Cardiology·B OlshanskyA L Waldo
Jul 1, 1973·Circulation Research·M A AllessieF J Schopman
Jan 1, 1983·Pacing and Clinical Electrophysiology : PACE·C R KerrJ H Kasell
Feb 1, 1982·Circulation·J J GallagherM Harte

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Citations

Apr 6, 2007·Biomedizinische Technik. Biomedical Engineering·Matthias HeinkeHans R Figulla

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