| Literature DB >> 19111762 |
Chung-Chuan Chou1, Peng-Sheng Chen.
Abstract
Atrial fibrillation (AF) is a complex arrhythmia with multiple possible mechanisms. It requires a trigger for initiation and a favorable substrate for maintenance. Pulmonary vein myocardial sleeves have the potential to generate spontaneous activity, and this arrhythmogenic activity is surfaced by modulation of intracellular calcium dynamics. Direct autonomic nerve recordings in canine models show that simultaneous sympathovagal discharges are the most common triggers of paroxysmal atrial tachycardia and paroxysmal AF. Autonomic modulation as a potential therapeutic strategy has been targeted clinically and experimentally, but its effectiveness as an adjunctive therapeutic modality to catheter ablation of AF has been inconsistent. Further studies are warranted before application can be widely implied for therapies of clinical AF.Entities:
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Year: 2009 PMID: 19111762 PMCID: PMC2653219 DOI: 10.1016/j.ccl.2008.09.003
Source DB: PubMed Journal: Cardiol Clin ISSN: 0733-8651 Impact factor: 2.213