지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2012.1
- 수록면
- 76 - 82 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: Hybrid therapy with catheter ablation of the cavo-tricuspid isthmus (CTI) and continuation of anti-arrhythmic drugs (AAD), or electrical cardioversion with AADs might be alternative treatments for patients with persistent atrial fibrillation (AF). The goal of study was to assess the long term success rate of hybrid therapy for persistent AF compared to antiarrhythmic medication therapy after electrical cardioversion and identify the independent risk factors associated with recurrence after hybrid therapy. Materials and Methods: A total of 32 patients with persistent AF who developed atrial flutter after the administration of a class Ic or III anti-arrhythmic drug were enrolled. This group was compared with a group (33 patients) who underwent cardioversion and received direct current cardioversion with AADs. Baseline data were collected, and electrocardiogram and symptom driven Holter monitoring were performed every 2-4 months. Results: There was no significant difference in the baseline characteristics between the groups. The 12 month atrial arrhythmia free survival was better in the hybrid group, 49.0% vs. 33.1%, p=0.048. However, during a mean 55.7+/- 43.0 months of follow up, the improved survival rate regressed (p=0.25). A larger left atrium size was an independent risk factor for the recurrence of AF after adjusting for confounding factors. Conclusion: Despite favorable outcome during 12 month, the CTI block with AADs showed outcomes similar to AAD therapy after electrical cardioversion over a 12 month follow up period.
Minimal substrate modification with AADs might be an alternative treatment for persistent AF with minimal atrial remodeling.
목차
등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Brooks AG / 2010 / Outcomes of long-standing persistent atrial fibrillation ablation: a systematic review / Heart Rhythm 7 : 835 ~ 846
Cappato R / 2005 / Worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation / Circulation 111 : 1100 ~ 1105
Fetsch T / 2004 / Prevention of atrial fibrillation after cardioversion: results of the PAFAC trial / Eur Heart J 25 : 1385 ~ 1394
Fuster V / 2011 / 2011 ACCF/AHA/HRS focused updates incorporated into the ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation: a report of the
Haissaguerre M / 1998 / Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins / N Engl J Med 339 : 659 ~ 666
Cappato R / 2005 / Worldwide survey on the methods, efficacy, and safety of catheter ablation for human atrial fibrillation / Circulation 111 : 1100 ~ 1105
Fetsch T / 2004 / Prevention of atrial fibrillation after cardioversion: results of the PAFAC trial / Eur Heart J 25 : 1385 ~ 1394
Fuster V / 2011 / 2011 ACCF/AHA/HRS focused updates incorporated into the ACC/AHA/ESC 2006 guidelines for the management of patients with atrial fibrillation: a report of the
Haissaguerre M / 1998 / Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins / N Engl J Med 339 : 659 ~ 666
이 논문의 저자 정보
최근 본 자료
댓글(0)
0