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European Heart Journal Advance Access originally published online on October 11, 2005
European Heart Journal 2005 26(23):2484-2486; doi:10.1093/eurheartj/ehi577
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© The European Society of Cardiology 2005. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

Left atrial ablation pendulum swinging back towards the pulmonary veins

Hein Heidbüchel*

Department of Cardiology, University Hospital Gasthuisberg, Herestraat 49, B-3000 Leuven, Belgium

* Corresponding author. Tel: +32 16 34 42 48; fax: +32 16 34 42 40. E-mail address: hein.heidbuchel@uz.kuleuven.ac.be

This editorial refers to ‘Non-inducibility post-pulmonary vein isolation achieving exit block predicts freedom from atrial fibrillation’{dagger} by V. Essebag et al., on page 2550

The first 150 words of the full text of this article appear below.

No cardiologist today is ignorant anymore of the fact that the pulmonary vein (PV) ostia and the surrounding left atrial (LA) tissue lie at the heart of atrial fibrillation (AF). The PVs may harbor rapidly firing foci that act as triggers for the initiation of paroxysms of AF. Moreover, the region certainly also plays a key role in its perpetuation towards persistent or even permanent forms by harboring fast re-entrant wavelets that maintain the arrhythmia. Since the original reports, describing selective ablation of foci within the PV, ablative strategies have moved towards the ostia and further away from the veins into the left atrium.

However, despite intense research, it remains unclear what is the best ablation strategy for AF. Over the last decade, two main ‘schools’ have developed. The first is directed at the electrical isolation of the PV from the left atrium, a goal which is generally achieved by . . . [Full Text of this Article]


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Related articles in EHJ:

Non-inducibility post-pulmonary vein isolation achieving exit block predicts freedom from atrial fibrillation
Vidal Essebag, Ferdinando Baldessin, Matthew R. Reynolds, Seth McClennen, Jignesh Shah, Kevin F. Kwaku, Peter Zimetbaum, and Mark E. Josephson
EHJ 2005 26: 2550-2555. [Abstract] [FREE Full Text]  



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