S-3
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Therapy of atrial fibrillation:
radiofrequency catheter ablation
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Maurizio Gasparini, Fabrizio
Pizzetti*, Massimo Mantica, Maurizio Lunati°, Augusto Foresti.
Operative Unit of Cardiology, Clinical Institute Humanitas, Rozzano (MI), * Division of
Cardiology,
S. Spirito Hospital, Casale Monferrato (AL), ° Department of Cardiology "A. De
Gasperis", Niguarda Hospital, Milan, Italy
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Abstract
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The clinical, prognostic and economic importance of
atrial fibrillation (AF) are well known. Antiarrhythmic drugs used for preventing AF or
controlling heart rate are often ineffective or badly tolerated and are unable to avoid
correlated clinical problems such as thromboembolism or cardiac cycle irregularity. New,
non-pharmacological techniques for the control of AF have been developed in the last
years, with good results, but leaving unresolved problems.
The authors report the most relevant clinical experiences and the most convincing
transcatheter techniques described in international literature.
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Key Words
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Atrial fibrillation
radiofrequency catheter ablation, AV node ablation, AV node modulation, AF substrate
ablation, Framingham study, R
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