ATRIAL FIBRILLATION CATHETER ABLATION: YESTERDAY, TODAY, TOMORROW

In the present article we demonstrate data on epidemic nature of atrial fibrillation spread (AF) today, and describe economic and social consequences of abrupt increase in patient numbers. The strategy of AF treatment and significant restriction in opportunities of drug treatment is discussed. Inter...

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Main Author: D. S. Lebedev
Format: Article
Language:English
Published: Scientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1 2019-02-01
Series:Инновационная медицина Кубани
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Online Access:https://inovmed.elpub.ru/jour/article/view/58
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author D. S. Lebedev
author_facet D. S. Lebedev
author_sort D. S. Lebedev
collection DOAJ
description In the present article we demonstrate data on epidemic nature of atrial fibrillation spread (AF) today, and describe economic and social consequences of abrupt increase in patient numbers. The strategy of AF treatment and significant restriction in opportunities of drug treatment is discussed. Intervention treatment was developed after discovery of pulmonary vein electric activity and its connection with induction and persisting arrhythmia. We described in details technique of catheter ablation in patients with paroxysmal and persisting atrial fibrillation. It is shown that despite a row of additional acceptances and approaches in catheter ablation, pulmonary vein isolation remains a cornerstone for AF successful treatment. Today there are two main approaches for catheter treatment: radio-frequency and cryoballoon isolation of pulmonary veins. Introduction of new modifications with a cryocylinder allows to reduce operation time and shorten complication development probability. Necessity for integrated approach to treat patients with persisting arrhythmia, further complications and possibility to develop new technologies is discussed. We consider team approach in treatment this category of patients to be extremely important.
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spelling doaj-art-0130dc86f0c94909bfca82cdc8a0e65d2025-08-20T01:59:09ZengScientific Research Institute, Ochapovsky Regional Clinical Hospital no. 1Инновационная медицина Кубани2500-02682541-98972019-02-0151576558ATRIAL FIBRILLATION CATHETER ABLATION: YESTERDAY, TODAY, TOMORROWD. S. Lebedev0Almazov National Medical Research Centre, Ministry of Health of the Russian FederationIn the present article we demonstrate data on epidemic nature of atrial fibrillation spread (AF) today, and describe economic and social consequences of abrupt increase in patient numbers. The strategy of AF treatment and significant restriction in opportunities of drug treatment is discussed. Intervention treatment was developed after discovery of pulmonary vein electric activity and its connection with induction and persisting arrhythmia. We described in details technique of catheter ablation in patients with paroxysmal and persisting atrial fibrillation. It is shown that despite a row of additional acceptances and approaches in catheter ablation, pulmonary vein isolation remains a cornerstone for AF successful treatment. Today there are two main approaches for catheter treatment: radio-frequency and cryoballoon isolation of pulmonary veins. Introduction of new modifications with a cryocylinder allows to reduce operation time and shorten complication development probability. Necessity for integrated approach to treat patients with persisting arrhythmia, further complications and possibility to develop new technologies is discussed. We consider team approach in treatment this category of patients to be extremely important.https://inovmed.elpub.ru/jour/article/view/58atrial fibrillationpulmonary veinscatheter ablation
spellingShingle D. S. Lebedev
ATRIAL FIBRILLATION CATHETER ABLATION: YESTERDAY, TODAY, TOMORROW
Инновационная медицина Кубани
atrial fibrillation
pulmonary veins
catheter ablation
title ATRIAL FIBRILLATION CATHETER ABLATION: YESTERDAY, TODAY, TOMORROW
title_full ATRIAL FIBRILLATION CATHETER ABLATION: YESTERDAY, TODAY, TOMORROW
title_fullStr ATRIAL FIBRILLATION CATHETER ABLATION: YESTERDAY, TODAY, TOMORROW
title_full_unstemmed ATRIAL FIBRILLATION CATHETER ABLATION: YESTERDAY, TODAY, TOMORROW
title_short ATRIAL FIBRILLATION CATHETER ABLATION: YESTERDAY, TODAY, TOMORROW
title_sort atrial fibrillation catheter ablation yesterday today tomorrow
topic atrial fibrillation
pulmonary veins
catheter ablation
url https://inovmed.elpub.ru/jour/article/view/58
work_keys_str_mv AT dslebedev atrialfibrillationcatheterablationyesterdaytodaytomorrow