Steven, Daniel, van den Bruck, Jan-Hendrik, Woermann, Jonas, Filipovic, Karlo, Dittrich, Sebastian, Lueker, Jakob and Sultan, Arian (2021). Non-invasive vagal stimulation for paroxysmal atrial fibrillation: a promising treatment strategy? Aktuelle Kardiol., 10 (3). S. 228 - 233. STUTTGART: GEORG THIEME VERLAG KG. ISSN 2193-5211
Full text not available from this repository.Abstract
Zusammenfassung Autonome Dysbalance kann die Wahrscheinlichkeit fur das Auftreten von paroxysmalem Vorhofflimmern beeinflussen. Fruhere Studien haben gezeigt, dass die Ablation autonomer Ganglien im linken Vorhof Rezidive von Vorhofflimmern reduzieren kann. Die bisherige Therapie von Vorhofflimmern besteht aus wenig effektiven medikamentosen Ansatzen und potenziell mit Risiken behafteten invasiven Verfahren, wie der katheterbasierten Isolation der Pulmonalvenen. Eine einfach durchzufuhrende nicht invasive Stimulation des N. vagus konnte eine mogliche Therapieoption sein. Die Effektivitat dieses Verfahrens ist in einer kurzlich erschienenen randomisierten Arbeit mit einer relativ geringen Anzahl von Patienten untersucht worden. Der vorliegende Artikel gibt einen uberblick uber die Therapie und ordnet den Stellenwert perspektivisch ein. Abstract Autonomic imbalance is a presumed mechanism for increasing the likelihood of paroxysmal atrial fibrillation occurrence. Earlier studies have shown that catheter-based ablation of ganglionated plexi within the left atrium may reduce the probability of atrial fibrillation recurrence. Current therapeutic strategies for atrial fibrillation consist of a modestly efficient medical treatment and invasive ablation with the risk of potential complications. A non-invasive, easily applicable external vagal nerve stimulation may be a therapeutic option. The effectiveness of this strategy was evaluated in a prospective randomized trial with a limited number of patients. The present article discusses this study and relates it to current knowledge in this field.
| Item Type: | Journal Article | ||||||||||||||||||||||||||||||||
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| URN: | urn:nbn:de:hbz:38-562863 | ||||||||||||||||||||||||||||||||
| DOI: | 10.1055/a-1478-3091 | ||||||||||||||||||||||||||||||||
| Journal or Publication Title: | Aktuelle Kardiol. | ||||||||||||||||||||||||||||||||
| Volume: | 10 | ||||||||||||||||||||||||||||||||
| Number: | 3 | ||||||||||||||||||||||||||||||||
| Page Range: | S. 228 - 233 | ||||||||||||||||||||||||||||||||
| Date: | 2021 | ||||||||||||||||||||||||||||||||
| Publisher: | GEORG THIEME VERLAG KG | ||||||||||||||||||||||||||||||||
| Place of Publication: | STUTTGART | ||||||||||||||||||||||||||||||||
| ISSN: | 2193-5211 | ||||||||||||||||||||||||||||||||
| Language: | German | ||||||||||||||||||||||||||||||||
| Faculty: | Unspecified | ||||||||||||||||||||||||||||||||
| Divisions: | Unspecified | ||||||||||||||||||||||||||||||||
| Subjects: | no entry | ||||||||||||||||||||||||||||||||
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| URI: | http://kups.ub.uni-koeln.de/id/eprint/56286 |
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