医学
烧蚀
心房颤动
心脏病学
耐火材料(行星科学)
内科学
模式
消融治疗
临床实习
模态(人机交互)
重症监护医学
物理疗法
计算机科学
社会学
雄激素
物理
人机交互
天体生物学
激素
社会科学
作者
Pietro Palmisano,Cosimo Mandurino,Antonio Parlavecchio,Giovanni Luzzi,Alessandro Guido,Michele Accogli,Giovanni Coluccia
标识
DOI:10.1080/17434440.2025.2452286
摘要
Introduction In patients with symptomatic, refractory atrial fibrillation the ablate and pace (A&P) strategy (pacemaker implantation followed by atrio-ventricular junction ablation (AVJA)) is superior to medical therapy in improving quality of life and prognosis. Despite its well-proven benefits, this invasive therapeutic option is still underutilized in clinical practice. The choice of pacing modality (right ventricular pacing, biventricular pacing, BVP, or conduction system pacing, CSP) is crucial and can have significant clinical implications. In particular, in recent years CSP is emerging as an alternative to BVP, showing a good effectiveness and safety profile. Other important aspects are the timing of ablation, the approach used for AVJA, and the correct device programming after AVJA.
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