Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
42
pubmed:dateCreated
2006-11-8
pubmed:abstractText
In patients with atrial fibrillation, a decision must be made whether to accept the arrhythmia (rate control) or to pursue maintenance of sinus rhythm (rhythm control). Randomized trials have shown no difference between these strategies with respect to morbidity, mortality, and quality of life. In these studies, morbidity and mortality appeared to be related predominantly to the underlying heart disease rather than to the arrhythmia itself. However, other analyses suggest that long-term sinus rhythm may improve prognosis. At any rate, complaints caused by the arrhythmia may definitely be a reason to strive for rhythm control. If pharmacological rhythm control fails, maze surgery, both in patients with lone atrial fibrillation and as concomitant surgery, is highly successful. This, however, necessitates cardiac surgery. New techniques have now emerged, including pulmonary vein isolation by means of percutaneous catheter ablation. This is less invasive and therefore nowadays the treatment of first choice if pharmacological rhythm control has failed.
pubmed:commentsCorrections
pubmed:language
dut
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Oct
pubmed:issn
0028-2162
pubmed:author
pubmed:issnType
Print
pubmed:day
21
pubmed:volume
150
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
2294-6
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed:year
2006
pubmed:articleTitle
[Rhythm control as treatment for patients with medication-resistant atrial fibrillation: maze surgery and percutaneous pulmonary vein isolation by catheter ablation].
pubmed:affiliation
Universitair Medisch Centrum Groningen, afd Cardiologie, Thoraxcentrum. i.c.van.gelder@thorax.umcg.nl
pubmed:publicationType
Journal Article, Comment, English Abstract