Efficacy of transesophageal pacing for correction of newly diagnosed atrial fibrillation of type I in patients with coronary heart disease


Cite item

Full Text

Abstract

Aim. To analyse the results of using transesophageal pacing (TEP) for correction of atrial fibrillation of type I (AF).
Material and methods. The study included 1283 patients with coronary heart disease (CHD) and newly diagnosed AF. All the patients were examined with transthoracic echocardiography, received basic antianginal treatment. AF was corrected with TEP.
Results. Sinus rhythm was reestablished in 83.48% patients, in 67.33% TEP was made without previous antiarrhythmic therapy, in the rest patients with this pretreatment. The best result was observed in pre-pacing administration of amiodaron or its combination with hinidin-durules. Only 2.88% patients retained AF after TEP.
Conclusion. TEP is an effective method of type I AF treatment.

References

  1. Saoudi N., Cosio F., Waldo A. et al. A classification of atrial flutter and regular atrial tachycardia according to electrophysiological mechanisms and anatomical bases; a Statement from a Joint Expert Group from The Working Group of Arrhythmias of the European Society of Cardiology and the North American Society of Pacing and Electrophysiology. Eur. Heart J. 2001; 22 (6): 1162-1182.
  2. Рекомендации Всероссийского научного общества специалистов по клинической электрофизиологии, аритмологии и кардиостимуляции по проведению клинических электрофизиологических исследований, катетерной абляции и имплантации антиаритмических устройств. М.: Изд. дом "Золотой Абрикос"; 2005.
  3. Feigenbaum H. Echocardiography. 5th ed. Philadelphia: Lea and Fibiger; 1994.
  4. Олесин А. И., Шабров А. В., Разумова Т. В., Александров В. С. Использование различных режимов кардиостимуляции для выбора противорецидивной терапии пароксизмов мерцания и трепетания предсердий у больных ишемической болезнью. Тер. арх. 2000; 11: 39-43.
  5. Клиническая кардиология: Пер. с англ. под ред. В. И. Хирманова. 2-е изд. М.: Изд-во "БИНОМ"; СПб.: "Невский Диалект"; 2002.
  6. Кушаковский М. С. Аритмии сердца: Руководство для врачей. СПб.: ООО «Изд-во "Фолиант"»; 2004.
  7. Shlevkov N., Yang A., Schrickel J. W. et al. Role of high frequency atrial pacing for the termination of acute atrial fibrillation and atypical atrial flutter // Pacing Clin. Electrophysiol. 2007; 30 (3): 322-332.
  8. Fuster V., Ryden L. E., Asinger R. W. et al. ACC/AHA/ESC guidelines for the management of patients with atrial fibrillation: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for practice Guidelines and Polisy Conference. J. Am. Coll. Cardiol. 2001; 38 (8): 1231-1265.
  9. Gong Y., Xie F., Stein K. M. et al. Mechanism underlying initiation of paroxysmal atrial flutter/atrial fibrillation by ectopic foci: a simulation study // Circulation 2007; 115 (6): 2094- 2102.
  10. Бойцов С. А. (ред.). Мерцательная аритмия СПб.: "ЭЛБИ СПб."; 2001.
  11. Мазур Н. А. Пароксизмальные тахикардии. М.: ИД "Медпрактика М"; 2005. 252 с.
  12. Da Costa A., Thvenin J., Roche F. et al. Results from the Loire-Ardéche-Drôme-Isére-Puy-de-Dôme (LADIP) trial on atrial flutter, a multicentric prospective randomized study comparing amiodarone and radiofrequency ablation alter the first episode of symptomatic atrial flutter. Circulation 2006; 114 (6): 1676-1681.

Supplementary files

Supplementary Files
Action
1. JATS XML

Copyright (c) 2009 Consilium Medicum

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
 

Address of the Editorial Office:

  • Novij Zykovskij proezd, 3, 40, Moscow, 125167

Correspondence address:

  • Alabyan Street, 13/1, Moscow, 127055, Russian Federation

Managing Editor:

  • Tel.: +7 (926) 905-41-26
  • E-mail: e.gorbacheva@ter-arkhiv.ru

 

© 2018-2021 "Consilium Medicum" Publishing house


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies