13th International Congress
THE "NEW FRONTIERS"
OF ARRHYTHMIAS 1998

January 24-31, 1998
Marilleva, Trento, Italy

RT-146

Ablate and pace for paroxysmal atrial fibrillation: epidemiology, short and long term results

Michele Brignole, Carlo Menozzi, Lorella Gianfranchi, Gino Lolli.
Arrhythmologic Center, Ospedali Riuniti, Lavagna, Department of Cardiology and Arrhythmologic Center, Ospedale S. Maria Nuova, Reggio Emilia, Italy

The figure of the potential candidates for ablate and pace treatment

Atrial fibrillation is by far the most frequent arrhythmia. It has been calculated that it accounts for 1.6% to 2% of the general population. It is particularly frequent in the elderly, in males and in patients with heart disease; the prevalence of atrial fibrillation is 9.1 in men and women with cardiovascular disease over 65 years of age1,2. Given this high incidence, even if catheter ablation therapy was prescribed for a minority of drug refractory patients3, the total number of potential candidates for this treatment would be very high. For example, we have calculated that in Europe about 396 000 patients (216 000 over 65 years) are affected by intolerable paroxysmal atrial fibrillation (Fig. 1).

Fig. 1

 

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