Are Electrophysiological Changes Induced by Longer Lasting Atrial Fibrillation Reversible?
Author(s) -
LuzMaria Rodriguez,
Carl Timmermans,
Hein J.J. Wellens
Publication year - 1999
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/01.cir.100.2.113
Subject(s) - medicine , atrial fibrillation , sinus rhythm , cardiology , cardioversion , refractory period , electrophysiology , anesthesia , rhythm , effective refractory period , heart disease , electrical cardioversion
Studies in animal hearts have shown shortening of the atrial effective refractory period (AERP) and loss of the relation between the AERP and heart rate after prolonged periods of atrial fibrillation (AF). The purposes of this study were (1) to evaluate atrial electrophysiology after a long period of sinus rhythm in patients who had longer lasting recurrent AF that was successfully treated with the Metrix Atrioverter and (2) to analyze the effect of prompt cardioversion on subsequent AF episodes and the duration of sinus rhythm.
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