Atrial fibrillation is a common arrhythmia that causes symptomssuch as palpitations and dyspnea but is also associated withstroke, heart failure, and an increased risk of hospitalizationand death.1,2 The incidence of atrial fibrillation increasesmarkedly with age. As the average age of the general populationincreases, the overall prevalence of atrial fibrillation isalso increasing. Among the most common approaches to managementare rate control plus anticoagulation and rhythm control withantiarrhythmic medications. Neither of these two strategiesis 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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