Role of Pulmonary Vein in Atrial Fibrillation
Background. Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia, occurring in1–2% of the general population and likely to increase in next 50 years. The prevalence of AF increases with age, from 0.5% at40–50 years, to 5–15% at 80 years. Precise mechanisms that lead tothe onset a...
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| Format: | Article |
| Language: | English |
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Indonesian Heart Association
2013-06-01
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| Series: | Majalah Kardiologi Indonesia |
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| Online Access: | http://ijconline.id/index.php/ijc/article/view/30 |
| _version_ | 1818281380472160256 |
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| author | Dian Andina Munawar Yoga Yuniadi |
| author_facet | Dian Andina Munawar Yoga Yuniadi |
| author_sort | Dian Andina Munawar |
| collection | DOAJ |
| description | Background. Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia, occurring in1–2% of the general population and likely to increase in next 50 years. The prevalence of AF increases with age, from 0.5% at40–50 years, to 5–15% at 80 years. Precise mechanisms that lead tothe onset and persistence of AF have not completely been elucidated.
The key role of ectopic foci in pulmonary veins as a trigger of AF has been recognized. Depending on disease progression, 60 to95% of triggers responsible for AF induction originate within the pulmonary veins (PV).
Because of the clinical importance of the PVs in the initiation of AF, it makes the increasingly widespread application of catheter ablation techniques in these veins as a treatment for AF. Restoration and maintenance of sinus rhythm is of potential benefit if it can be achieved without the use of anti arrhythmic drugs, and this fact underscores the need to strive for the development of non pharmacological treatments to achieve and maintain sinus rhythm.
Objective. The aim of the presentation is to discuss about role of pulmonary vein potential isolation on treatment of atrial fibrillation.
Summary. A 64 year old man with diagnosis of paroxysmal atrial fibrillation was reported. The patient was then performed catheter ablation using CARTO 3D electroanatomic mapping system. He underwent pulmonary vein isolation and had successful result. In paroxysmal AF, PV electrical isolation remains a pivotal strategy. It is associated with arrhythmia suppression without the use of anti arrhythmic agents. The clinical outcome of ablation can further improved. |
| first_indexed | 2024-12-13T00:04:12Z |
| format | Article |
| id | doaj.art-30678992f89b4692b0ff06e21d255f4a |
| institution | Directory Open Access Journal |
| issn | 0126-3773 2620-4762 |
| language | English |
| last_indexed | 2024-12-13T00:04:12Z |
| publishDate | 2013-06-01 |
| publisher | Indonesian Heart Association |
| record_format | Article |
| series | Majalah Kardiologi Indonesia |
| spelling | doaj.art-30678992f89b4692b0ff06e21d255f4a2022-12-22T00:06:18ZengIndonesian Heart AssociationMajalah Kardiologi Indonesia0126-37732620-47622013-06-0133410.30701/ijc.v33i4.30Role of Pulmonary Vein in Atrial FibrillationDian Andina Munawar0Yoga Yuniadi1Division of Arrhythmia, Departement of Cardiology and Vascular Medicine, Faculty of Medicine University of Indonesia, and National Cardiovascular Center Harapan Kita, JakartaPusat Jantung Nasional Harapan Kita Jl. S Parman Kav 87 Slipi Jakarta 11420Background. Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia, occurring in1–2% of the general population and likely to increase in next 50 years. The prevalence of AF increases with age, from 0.5% at40–50 years, to 5–15% at 80 years. Precise mechanisms that lead tothe onset and persistence of AF have not completely been elucidated. The key role of ectopic foci in pulmonary veins as a trigger of AF has been recognized. Depending on disease progression, 60 to95% of triggers responsible for AF induction originate within the pulmonary veins (PV). Because of the clinical importance of the PVs in the initiation of AF, it makes the increasingly widespread application of catheter ablation techniques in these veins as a treatment for AF. Restoration and maintenance of sinus rhythm is of potential benefit if it can be achieved without the use of anti arrhythmic drugs, and this fact underscores the need to strive for the development of non pharmacological treatments to achieve and maintain sinus rhythm. Objective. The aim of the presentation is to discuss about role of pulmonary vein potential isolation on treatment of atrial fibrillation. Summary. A 64 year old man with diagnosis of paroxysmal atrial fibrillation was reported. The patient was then performed catheter ablation using CARTO 3D electroanatomic mapping system. He underwent pulmonary vein isolation and had successful result. In paroxysmal AF, PV electrical isolation remains a pivotal strategy. It is associated with arrhythmia suppression without the use of anti arrhythmic agents. The clinical outcome of ablation can further improved.http://ijconline.id/index.php/ijc/article/view/30atrial fibrillationpulmonary vein isolationcatheter ablation |
| spellingShingle | Dian Andina Munawar Yoga Yuniadi Role of Pulmonary Vein in Atrial Fibrillation Majalah Kardiologi Indonesia atrial fibrillation pulmonary vein isolation catheter ablation |
| title | Role of Pulmonary Vein in Atrial Fibrillation |
| title_full | Role of Pulmonary Vein in Atrial Fibrillation |
| title_fullStr | Role of Pulmonary Vein in Atrial Fibrillation |
| title_full_unstemmed | Role of Pulmonary Vein in Atrial Fibrillation |
| title_short | Role of Pulmonary Vein in Atrial Fibrillation |
| title_sort | role of pulmonary vein in atrial fibrillation |
| topic | atrial fibrillation pulmonary vein isolation catheter ablation |
| url | http://ijconline.id/index.php/ijc/article/view/30 |
| work_keys_str_mv | AT dianandinamunawar roleofpulmonaryveininatrialfibrillation AT yogayuniadi roleofpulmonaryveininatrialfibrillation |