Cardiac stimulation in atrial fibrillation
Authors:
K. Buchtová
Authors‘ workplace:
LF MU a FN U sv. Anny, Brno
; I. interní kardioangiologická klinika
Published in:
Kardiol Rev Int Med 2007, 9(1): 31-39
Category:
Editorial
Overview
Atrial fibrillation is one of the most frequent arrhythmia whose incidence increases with age. Atrial fibrillation occurs most often in chronic illnesses, for instance in hypertension, heart failure, coronary heart disease, valve defects, cardiomyopathy, but non-cardiac causes are also possible, including hyperthyroidism or ion imbalances. The decision as to whether to use pharmacological or non-pharmacological treatment or a combined (hybrid) form of treatment must be made individually for every patient with atrial fibrillation. In this work we consider indication for the implantation of a pacemaker for permanent atrial fibrillation, for sinus node malfunction with paroxysmal atrial fibrillation, for patients with chronic atrial fibrillation after ablation of the atrioventricular junction and biventricular stimulation in patients with heart failure and atrial fibrillation. Implantation of a pacemaker is not usually the method of first choice – it is always necessary to weigh the benefit of pacemaker implantation against the possible complications. Special attention is given to algorithms for the prevention of atrial tachyarrhythmia.
Keywords:
atrial fibrillation – long-term cardiac stimulation – sick sinus syndrome – preventative algorithms – non-selective ablation of the AV node – heart resynchronisation therapy
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