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Review Article
Current Concepts
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Volume 346:2062-2068 June 27, 2002 Number 26
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Implantable Devices for the Treatment of Atrial Fibrillation
Joshua M. Cooper, M.D., Michael S. Katcher, M.D., and Michael V. Orlov, M.D., Ph.D.

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Atrial fibrillation is a common arrhythmia that causes symptoms such as palpitations and dyspnea but is also associated with stroke, heart failure, and an increased risk of hospitalization and death.1,2 The incidence of atrial fibrillation increases markedly with age. As the average age of the general population increases, the overall prevalence of atrial fibrillation is also increasing. Among the most common approaches to management are rate control plus anticoagulation and rhythm control with antiarrhythmic medications. Neither of these two strategies is ideal. Anticoagulation does not eliminate the risk of stroke, and the antiarrhythmic drugs often do not maintain sinus rhythm.3,4 . . . [Full Text of this Article]

Ventricular Pacing during Atrial Fibrillation

Prevention of Atrial Fibrillation with Atrial Pacing

Alternative-Site and Dual-Site Atrial Pacing

Overdrive Atrial Pacing

High-Frequency Pacing and Electrical Cardioversion

Conclusions


Source Information

From the Cardiovascular Division, Brigham and Women's Hospital, Boston (J.M.C.); and Division of Cardiology, Veterans Affairs Boston Healthcare System, Veterans Affairs Medical Center, West Roxbury, Mass. (M.S.K., M.V.O.).

Address reprint requests to Dr. Katcher at Cardiology 111A, VA Boston Healthcare System, 1400 VFW Pkwy., West Roxbury, MA 02132.


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