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. 2024 Jan;65(1):29-37.
doi: 10.1007/s00108-023-01636-5. Epub 2024 Jan 3.

[Catheter ablation of atrial fibrillation : Evidence and current techniques]

[Article in German]
Leonard Bergau  1 , Philipp Sommer  2
Affiliations

[Catheter ablation of atrial fibrillation : Evidence and current techniques]

[Article in German]
Leonard Bergau et al. Inn Med (Heidelb). 2024 Jan.

Abstract
in English, German

Atrial fibrillation (AF) is the most frequent cardiac arrhythmia with increasing clinical and healthcare economic relevance. A timely treatment prevents or slows the remodelling process of the atrial and ventricular myocardium initiated by AF, emphasizing its relevance especially in heart failure patients. Catheter ablation for the treatment of AF is safe and effective. The three ablation techniques currently used are comparable in terms of success rates but differ in terms of risk profile and the type of lesion formation.

Vorhofflimmern ist die häufigste Herzrhythmusstörung überhaupt mit steigender klinischer und gesundheitsökonomischer Relevanz. Eine frühzeitige Therapie verhindert oder verlangsamt den durch Vorhofflimmern initiierten Umbau des Vorhof- und Ventrikelmyokards – eine Therapie, von der v. a. die herzinsuffizienten Patienten profitieren. Die Katheterablation zur Behandlung des Vorhofflimmerns ist sicher und effektiv. Die drei aktuell verwendeten Techniken sind hinsichtlich der Erfolgsaussichten vergleichbar, unterscheiden sich jedoch im Hinblick auf Risikoprofil und Art der Läsionsbildung.

Keywords: Atrial remodeling; CHA2DS2-VASc score; Pulmonary veins; Rhythm control; Ventricular remodelling.

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