Open AccessPacing Therapy for Prevention of Atrial Fibrillation
Author(s) -
Mizutani Noboru
Publication year - 2005
Publication title -
journal of arrhythmia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.463
H-Index - 21
eISSN - 1883-2148
pISSN - 1880-4276
DOI - 10.1016/s1880-4276(05)80002-x
Subject(s) - medicine , atrial fibrillation , bradycardia , cardiac pacing , cardiology , atrium (architecture) , ventricular pacing , intensive care medicine , heart failure , heart rate , blood pressure
Nonpharmacological therapy is being evaluated for the prevention of atrial fibrillation (AF). Pacing has been proposed as a one of the option to prevent AF. In patients with bradycardia and requiring pacemaker, physiological pacing such as dual chamber pacing or atrial pacing has an advantage against ventricular pacing in prevention AF. Pacing from novel site like the dual‐site atrium, biatrial, Bachman, and low sepatl pacing may reduce AF burden and new anti‐AF pacemakers with atrial prevention algorithm may decrease AF further. However, selecting the appropriate patients and adopting tailored‐therapy for individual patient is likely to remain one of the difficulties in achieving an advantage. This review discusses the current status of pacing therapy for the prevention of AF. It also discusses the some of merits and limitations of pacing therapy for the treatment of AF.