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paroxysmal atrial fibrillation icd 10
Mugnai G; Hünük B; Ströker E; Ruggiero D; Coutino-Moreno HE; Takarada K; De Regibus V; Choudhury R; Abugattas de Torres JP; Moran D; Iacopino S; Filannino P; Conte G; Sieira J; Poelaert J; Beckers S; Brugada P; de Asmundis C; Chierchia GB
Aims: The therapeutical administration of atrial fibrillation (AF) in the ambience of Brugada affection (BS) ability be arduous as abounding antiarrhythmic drugs (AADs) with sodium approach blocking backdrop ability advance to to the development of ventricular arrhythmias. This abstraction approved to appraise the analytic aftereffect in a afterwards alternation of patients with BS accepting undergone pulmonary attitude (PV) abreast by agency of radiofrequency (RF) or cryoballoon (CB) ablation and the ability of catheter ablation for preventing inappropriate interventions delivered by implantable cardioverter defibrillators (ICD) on a 3-year chase up.
Methods and results: Twenty-three afterwards patients with BS (13 males; beggarly age was 47 ± 18 years) accepting undergone PV abreast for drug-resistant paroxysmal AF were enrolled. Eleven patients (48%) had an ICD built-in of whom four had inappropriate shocks accessory to accelerated AF. Over a beggarly aftereffect aeon of 35.0 ± 25.4 months (median 36 months) the abandon from AF ceremony afterwards the basis PV abreast action was 74% afterwards AADs. Patients with inappropriate ICD interventions for AF did not present futher ICD shocks afterwards AF ablation. No above complications occurred.
Conclusion: Catheter ablation is a accurate ameliorative best for patients with BS and paroxysmal AF because the aerial success rates, the limitations of the AADs and the assurance of the procedure, and it should be taken into application abnormally in those patients presenting inappropriate ICD shocks due to accelerated AF.
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.
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