Atrial fibrillation is a common arrhythmia, difficult to treat
pharmacologically and associated with significant morbidity and
mortality. Although traditionally prescribed when pharmacologic
therapy is not effective, not tolerated, or contraindicated,
electrical therapy should no longer be considered as a treatment of
last resort. Implantable devices such as cardiac pacemakers and
internal defibrillators capable of monitoring atrial
tachyarrhythmias have enhanced understanding of the mechanisms and
natural history of atrial tachyarrhythmias. This knowledge allows
electrical therapy to alter the natural course of atrial
tachyarrhythmias early after onset or create an unfavorable
electrophysiological environment in circumstances predisposing to
their initiation.
Thus, electrical therapies are playing an increasingly important
role in the overall management of atrial fibrillation and
tachyarrhythmias, often in combination with antiarrhythmic drugs
and sometimes with other strategies. New dual-chamber ICDs can
safely and effectively differentiate atrial from ventricular
tachyarrhythmias and treat atrial tachyarrhythmias without
compromising detection and treatment of ventricular
tachyarrhythmias. Technological advances in standard electrical
cardioversion including the use of prior pharmacotherapy have
facilitated the success of the procedure and maintenance of sinus
rhythm. This is the first book devoted solely to the rapidly
expanding options to treat atrial tachyarrhythmias
electrically.
Electrical devices offer the promise of prevention and control
of atrial tachyarrhythmias, with significant improvements in all
health care professionals dealing with atrial fibrillation and
otheratrial tachyarrhythmias.
General
Imprint: |
Blackwell/Futura
|
Country of origin: |
United Kingdom |
Release date: |
2002 |
First published: |
February 2002 |
Authors: |
Israel
|
Dimensions: |
235 x 162 x 34mm (L x W x T) |
Format: |
Hardcover
|
Pages: |
464 |
Edition: |
2002. Corr. 2nd |
ISBN-13: |
978-0-87993-497-2 |
Categories: |
Books >
Medicine >
Clinical & internal medicine >
Cardiovascular medicine
|
LSN: |
0-87993-497-2 |
Barcode: |
9780879934972 |
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