Atrial fibrillation fundamentals: from physiopathology to transcatheter ablation.
Atrial fibrillation
Transcatheter ablation
Journal
European heart journal supplements : journal of the European Society of Cardiology
ISSN: 1520-765X
Titre abrégé: Eur Heart J Suppl
Pays: England
ID NLM: 100886647
Informations de publication
Date de publication:
May 2023
May 2023
Historique:
medline:
1
5
2023
pubmed:
1
5
2023
entrez:
1
5
2023
Statut:
epublish
Résumé
Atrial fibrillation (AF) is a common and harmful arrhythmia. Its complex pathogenesis can be outlined using Coumel's Triangle, that considers at the base of AF three different factors: substrate, trigger, and catalyst factor. The triangle can serve as a guide to understand the mechanism of action of the different possible treatments. Anti-arrhythmic drug therapies have a modest efficacy and no proven benefit on prognosis. Interventional therapy is more effective, especially if employed in the first stages of the disease, and can reduce mortality in selected populations. Ablative schemes must be different depending on the type of AF (paroxysmal, persistent) and the presence or absence of atrial dilation.
Identifiants
pubmed: 37125271
doi: 10.1093/eurheartjsupp/suad003
pii: suad003
pmc: PMC10132612
doi:
Types de publication
Journal Article
Langues
eng
Pagination
C7-C11Informations de copyright
© The Author(s) 2023. Published by Oxford University Press on behalf of the European Society of Cardiology.
Déclaration de conflit d'intérêts
Conflict of interest: FG and FF none, MA is Consultant for Biosense Webster and Boston Scientific, Clinical proctor for Medtronic and has received educationsl grants from Abbott.
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