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Pulmonary vein isolation for the treatment of atrial fibrillation: past, present and future.

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Le Polain De Waroux, Jean-Benoît [UCL] Talajic, Mario Khairy, Paul Guerra, Peter G Roy, Denis Macle, Laurent

Atrial fibrillation is the most common sustained cardiac arrhythmia and is associated with impaired quality of life and an increased risk of stroke and mortality. Antiarrhythmic drugs, currently the first-line therapy for patients without permanent atrial fibrillation, fail to prevent recurrences in over 50% and are associated with significant adverse effects. In the majority of cases, atrial fibrillation arises from the repetitive firing of myocytes in muscle sleeves that extend from the left atrium into the pulmonary veins. Pulmonary vein isolation has emerged as an effective treatment in selected patients. In this paper, the past and present roles of pulmonary vein isolation are described and the future developments of this technique are explored.

Document type Article de périodique (Journal article)
Publication date 2010
Language Anglais
Journal information "Future cardiology" - Vol. 6, no.1, p. 51-66 (2010)
Peer reviewed yes
issn 1479-6678
e-issn 1744-8298
Publication status Publié
Affiliation UCL - (SLuc) Service de cardiologie
MESH Subject Anticoagulants ; Patient Selection ; Pulmonary Veins ; Risk Factors ; Treatment Outcome ; Atrial Fibrillation ; Body Surface Potential Mapping ; Catheter Ablation ; Heart Atria ; History, 20th Century ; History, 21st Century ; Humans ; Muscle Cells
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Bibliographic reference Le Polain De Waroux, Jean-Benoît ; Talajic, Mario ; Khairy, Paul ; Guerra, Peter G ; Roy, Denis ; et. al. Pulmonary vein isolation for the treatment of atrial fibrillation: past, present and future.. In: Future cardiology, Vol. 6, no.1, p. 51-66 (2010)
Permanent URL http://hdl.handle.net/2078.1/124409