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European Heart Journal Advance Access originally published online on July 11, 2006
European Heart Journal 2006 27(17):2036-2037; doi:10.1093/eurheartj/ehl150
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© The European Society of Cardiology 2006. All rights reserved. For Permissions, please e-mail: journals.permissions@oxfordjournals.org

The relationship between sinus node dysfunction, bradycardia-mediated atrial remodelling, and post-operative atrial flutter in patients with congenital heart defects

Natasja M.S. de Groot* and Martin J. Schalij

Department of Cardiology, Leiden University Medical Center, P.O. Box 9600, 2300 RC Leiden, The Netherlands

* Corresponding author. Tel: +31 (0) 71 526 2020; fax: +31 (0) 71 522 6567. E-mail address: n.m.s.de_groot@lumc.nl

This editorial refers to ‘Chronotropic incompetence in young patients with late postoperative atrial flutter: a case–control study’{dagger} by N. Anand et al., on page 2069

The first 10% of the full text of this article appears below.

Atrial flutter (AFL) frequently develops in patients with congenital heart defects (CHD) after palliative or corrective cardiac surgery.1 Post-operative AFL is an important clinical problem as the presence of AFL is associated with both increased morbidity and mortality.2 Strategies to prevent the occurrence of post-operative AFL are therefore necessary. However, in order to prevent post-operative AFL, knowledge of the underlying mechanism resulting in the development of these tachyarrhythmias is mandatory.

In line with the observation that chronotropic incompetence predisposes to recurrent episodes of atrial fibrillation (AF), Anand et al. tested the hypothesis that sinoatrial node dysfunction and . . . [Full Text of this Article]

Sinus node function after cardiac surgery

Sinus node dysfunction and atrial remodelling

Future therapy: preventive pacing?


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Related articles in EHJ:

Chronotropic incompetence in young patients with late postoperative atrial flutter: a case–control study
Nitasha Anand, Brian W. McCrindle, Christine C. Chiu, Robert M. Hamilton, Joel A. Kirsh, Elizabeth A. Stephenson, and Gil J. Gross
EHJ 2006 27: 2069-2073. [Abstract] [Full Text]