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Review
. 2003 Jan;89(1):106-12.
doi: 10.1136/heart.89.1.106.

Pacing for atrial fibrillation

Chu-Pak Lau  1
Affiliations
Review

Pacing for atrial fibrillation

Chu-Pak Lau. Heart. 2003 Jan.
No abstract available

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Figures

Figure 1
Figure 1
Pacing in the suppression of early reinitiation of atrial fibrillation (AF). (A) AF occurred at baseline by an early atrial premature beat (APB) occurring in the left atrium (earliest recording at the distal CS: CS9–10). (B) Atrial pacing at 500 ms prevented AF from recurring. The coupling interval of the APB was also prolonged from 210 ms to 240 ms, which did not reinitiate AF. CS, coronary sinus; HIs, His bundle; RA, right atrium; RV, right ventricle. Reproduced from Tse et al13 with permission.
Figure 2
Figure 2
Lateral chest radiographs. (A) High interatrial septal pacing near the Bachmann’s bundle region (RAbb). (B) Dual site atrial pacing with one atrial lead in the appendage (RAap) and the other outside the coronary sinus os (CSos). RV, right ventricular electrode.
Figure 3
Figure 3
(A) Pacemaker stored atrial electrogram (EGM) and marker annotation showing an episode of spontaneous “organised” atrial tachyarrhythmia which was sensed (Ts) (upper panel), and subsequently detected as fibrillation (Fd) and terminated by antitachycardiac pacing (lower panel) (AT 500, Medtronic). AP, atrial pacing; VS, ventricular sensing. EGM not available during AP (B) Telemetry recording of the AF history of the same patient indicating a decreasing trend of AF burden and AF episodes.
See this image and copyright information in PMC

References

    1. Roy D, Talajic M, Dorian P, et al. Amiodarone to prevent recurrence of atrial fibrillation. Canadian trial of atrial fibrillation investigators. N Engl J Med 2000;342:913–20. - PubMed
    1. Mehra R, Hill MR. Prevention of atrial fibrillation/flutter by pacing techniques. In: Saksena S, Luderitz B, eds. Interventional electrophysiology: a text book. Armonk, New York: Futura Publishing, 1996: 521–40. ▸ A good review article on the mechanism of AF onset and the background of multisite pacing.
    1. Tse HF, Lau CP, Ayers GM. Incidence and modes of onset of early reinitiation of atrial fibrillation after successful internal cardioversion, and its prevention by intravenous sotalol. Heart 1999;82:319–24. - PMC - PubMed
    1. Yu WC, Chen SA, Tai CT, et al. Effects of different atrial pacing modes on atrial electrophysiology: implicating the mechanism of biatrial pacing in prevention of atrial fibrillation. Circulation 1997;96:2992–6. ▸ This describes the acute electrophysiology effect of biatrial pacing in the prevention of AF induction. - PubMed
    1. Attuel P, Pellerin D, Mugica J, et al. DDD pacing: an effective treatment modality for recurrent atrial arrhythmias. Pacing Clin Electrophysiol 1988;11:1647–54. - PubMed

MeSH terms