Heart 1998;79:531-533 ( June )
Editorial
Ablate and pace: a pragmatic approach to paroxysmal atrial fibrillation not controlled by antiarrhythmic drugs
| The first 150 words of the full text of this article appear below. |
AV junction ablation (producing AV block) followed by
implantation of a pacemaker is a well established, generally accepted treatment for patients with paroxysmal atrial fibrillation (PAF) not
controlled by antiarrhythmic drugs. In expert hands, the efficacy of
producing complete AV block is usually > 95% if a sequential right
and left side approach is used; regression of AV block late after
ablation (which requires a second procedure on a different day) occurs
in fewer than 5% of cases.1-4 There have been only a few
small studies, but ablate and pace treatment seems to be highly
effective and superior to drug treatment in controlling symptoms of the
arrhythmia and improving overall quality of life.4-6 In
this respect, the study of Marshall et al in this
issue7 provides further evidence of the beneficial effect
of this treatment. In particular, using validated instruments for
outcome measurements in pacemaker recipients, the authors found a
pronounced
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[Abstract] [Full Text] -
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