Radiofrequency versus pharmacologic modification of the atrioventricular node.
Although transcatheter radiofrequency modification of the atrioventricular (AV) node has been proposed as curative treatment in AV nodal reentry tachycardias, its role for the control of the ventricular rate in atrial tachyarrhythmias remains unclear. The aim of this study was to analyze the acute effect of radiofrequency current on AV nodal conduction and refractoriness, and to compare it with the effects of two antiarrhythmic drugs such as amiodarone (class III) and flecainide (class I). Twenty-one dogs were studied: (1) radiofrequency group (5 W for less than 45 seconds; 2 to 12 discharges; seven dogs); (2) amiodarone group (5 mg/kg intravenously; seven dogs); and (3) flecainide group (2 mg/kg intravenously; seven dogs). The following parameters were measured under basal conditions and after each procedure: AH interval, AV nodal functional refractory period, Wenckebach cycle length, minimum R-R interval during atrial fibrillation, and fitting of AV nodal function curve to a hyperbolic equation using its linear transformation. The AV nodal effective refractory period could not be calculated in any dog in the basal study because it was shorter than the atrial functional refractory period.(ABSTRACT TRUNCATED AT 250 WORDS)
Sanchis
J
J
Cardiology Department, University Clinic Hospital, Valencia, Spain.
Chorro
F J
FJ
López-Merino
V
V
Burguera
M
M
Martínez-Mas
M L
ML
Such
L
L
D000638:Amiodarone / Q000494:pharmacology; D000818:Animals; D001281:Atrial Fibrillation / Q000503:physiopathology / Q000532:radiotherapy; D001283:Atrioventricular Node / Q000187:drug effects / Q000528:radiation effects*; D004285:Dogs; D004594:Electrophysiology; D005424:Flecainide / Q000494:pharmacology; D009431:Neural Conduction / Q000528:radiation effects; D011846:Radio Waves; D012032:Refractory Period, Electrophysiological / Q000528:radiation effects
D005424:Flecainide; D000638:Amiodarone