[A method of intensive therapy for atrial flutter].
The authors propose a new stepwise method of intensive therapy of atrial flutter (AF) based on atrial transesophageal pacing (ATEP) the efficacy of which was raised by previous digitalization. Patients of group 1 (n = 25) were scheduled to have ATEP, in its inefficacy ATEP was to be followed by antiarrhythmic drugs and on-demand cardioversion. In patients of group 2 (n = 27) ATEP was preceded by digitalization. ATEP and antiarrhythmic chemotherapy resulted in restoration of the sinus rhythm in 48% of the cases, cardioversion was performed in 11 patients of group 1. In group 2 normal rhythm was reestablished in 88% of the patients, 2 patients experienced cardioversion. The proposed variant of treatment is advocated as an alternative to cardioversion.
Lipnitskiĭ
T N
TN
Radnin
A G
AG
Stepaniuk
A V
AV
Kotsuta
G I
GI
D000328:Adult; D000368:Aged; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D001282:Atrial Flutter / Q000503:physiopathology / Q000628:therapy*; D003131:Combined Modality Therapy; D004554:Electric Countershock; D004599:Electric Stimulation Therapy; D004562:Electrocardiography; D004947:Esophagus; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged
D000889:Anti-Arrhythmia Agents
Variant intensivnoĭ terapii trepetaniia predserdiĭ.