By Etienne Aliot, Michel Haissaguerre, Warren Jackman
Catheter Ablation of Atrial traumatic inflammation Edited byEtienne Aliot, MD, FESC, FACC, FHRS leader of Cardiology, H?pital critical, collage of Nancy, FranceMichel Ha?ssaguerre, MD leader of Electrophysiology, H?pital Cardiologique du Haut-L?v?que, FranceWarren M. Jackman, MD leader of Electrophysiology, college of Oklahoma healthiness technology heart, USAIn this article, across the world famous authors discover and clarify the advances in simple and medical electrophysiology that experience had the best influence on catheter ablation of atrial traumatic inflammation (AF).Designed to help in sufferer care, stimulate learn initiatives, and proceed the awesome advances in catheter ablation of AF , the ebook covers:the basic strategies of AF, foundation of indications, machine simulation, and up to date stories of ablation toolsthe current functional methods to the ablation of particular objectives within the fibrillating atria, together with pulmonary veins, atrial neural community, fragmented electrograms, and linear lesions, in addition to the options in paroxysmal or power AF or dealing with left atrial tachycardiasthe distinctive problem of middle failure sufferers, the effect of ablation on mortality, atrial mechanical functionality, and classes from surgical AF ablationRichly illustrated via various top of the range photos, Catheter Ablation of Atrial traumatic inflammation might help each member of the sufferer care workforce.
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Extra resources for Catheter Ablation of Atrial Fibrillation
In old canine infarcts, homogeneous conduction slowing due to an elevated extracellular potassium concentration increased the intervals between deflections within FEs without affecting the number of deflections . The observation that during AF, collision and slow conduction were associated with FEs indicates that these activation patterns were associated with dissociated activation in the atrial wall . In this study of unipolar electrogram morphology in normal human atria, FEs were categorized as short double potentials, long double potentials, and complex FEs.
Am J Physiol 1997;273:H805 –H816. 122 Schauerte P, Scherlag BJ, Pitha J, Scherlag MA, Reynolds D, Lazzara R, Jackman WM. Catheter ablation of cardiac autonomic nerves for prevention of vagal atrial fibrillation. Circulation 200;102:2774 – 80. 123 Armour JA, Murphy DA, Yuan BX, Macdonald S, Hopkins DA. Gross and microscopic anatomy of the human intrinsic cardiac nervous system. Anat Rec 1997;247:289–98. 124 Pauza DH, Skripka V, Pauziene N, Stropus R. Morphology, distribution, and variability of the epicardiac neural ganglionated subplexuses in the human heart.
In 20% of specimens it descended close to the right venoatrial junction; in the remaining cases it had a leftward course close to the left venoatrial junction . However, the esophagus coursed obliquely from left superior to right inferior in 36% of patients, and can move during the ablation procedure from one side to the other . Being able to image the esophagus during the procedure can reduce the risk of damaging it. 20 Transverse histological sections (Masson’s trichrome stain) showing the proximity of the esophagus to the middle of the posterior wall of the left atrium (LA).