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Role of Atrial Fibrillation Threshold Evaluation on Guiding Treatment

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dc.creator Takeshi Shirayama
dc.date 2003
dc.date.accessioned 2013-05-30T10:20:58Z
dc.date.available 2013-05-30T10:20:58Z
dc.date.issued 2013-05-30
dc.identifier http://www.ipej.org/0304/shirayama.htm
dc.identifier http://www.doaj.org/doaj?func=openurl&genre=article&issn=09726292&date=2003&volume=3&issue=4&spage=224
dc.identifier.uri http://koha.mediu.edu.my:8181/jspui/handle/123456789/4059
dc.description Atrial fibrillation could be induced reproducibly by 50Hz rapid stimulation which was given through systolic and early diastolic phase of atrial excitation. Duration of atrial fibrillation induced in this way was roughly dependent on the current amplitude of the stimulation. The minimum current that could induce long-lasting atrial fibrillation (30sec in the clinical setting, 2sec in the rabbit or rat model) was defined as atrial fibrillation threshold (AFT). AFT was larger in patients who had history of atrial fibrillation than those who did not. Anti-arrhythmic drugs raised AFT by various degrees both in experimental and clinical cases. Long-term efficacy of a drug could be predicted in a patient, measuring how much the drug increased AFT (cut-off point = 5mA increase). AFT is a useful marker to evaluate atrial vulnerability and to guide pharmacological treatment of atrial fibrillation.
dc.publisher Indian Pacing and Electrophysiology Group (IPEPG)
dc.source Indian Pacing and Electrophysiology Journal
dc.subject atrial fibrillation
dc.subject electrophysiological test
dc.subject therapy
dc.subject prognosis
dc.title Role of Atrial Fibrillation Threshold Evaluation on Guiding Treatment


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