Dialogues in Cardiovascular Medicine - Vol 8 . No. 4 . 2003






Auricular fibrillation and its relationship to clinical irregularity of the heart
T. Lewis

The first electrocardiographic recording of atrial fibrillation was made by Einthoven in 1906, but a significant background noise precluded the identification of atrial activity, although normal ventricular complexes were seen...



Auricular fibrillation without other evidence of heart disease: a cause of reversible heart failure
E. Phillips, S. A. Levine

Atrial fibrillation was first described in the association with congestive heart failure, but it was less commonly appreciated that it could be a cause and not only a consequence of severe left ventricular dysfunction...



Atrial fibrillation as a self-sustaining arrhythmia independent of focal discharge
G. K. Moe, J. A. Abildskov

Since atrial fibrillatory activity on the electrocardiogram was linked to auricular fibrillation, there has always been a debate as to which mechanisms operate in sustaining atrial fibrillation: a single focus, multiple foci, or a fixed reentrant circuit...



Electrical reversion of cardiac arrhythmias. Thomas Lewis Lecture
B. Lown

It is now 40 years since the introduction of electrical cardioversion for cardiac tachyarrhythmias...



Epidemiologic features of chronic atrial fibrillation: the Framingham study
W. B. Kannel, R. D. Abbott, D. D. Savage, P. M. MacNamara

The Framingham Study was the landmark study to appreciate the epidemiological significance of atrial fibrillation and to introduce the concept of risk factors for the arrhythmia...



Risk factors for stroke and efficacy of antithrombotic therapy in atrial fibrillation. Analysis of pooled data from five randomized controlled trials
Atrial Fibrillation Investigators

Absence of organized mechanical contraction of fibrillating atria with a consequent increase in atrial pressure and atrial stretch and dilation due to multiple pathophysiological mechanisms compensating for reduced cardiac output create conditions for blood stasis...



Atrial fibrillation begets atrial fibrillation. A study in awake chronically instrumented goats
M. C. Wijffels, C. J. Kirchhof, R. Dorland, M. A. Allessie

Paroxysmal atrial fibrillation is a recurring disease: the first attack will not be the last in over 90% of patients. It also tends to progress to a permanent form over time, the transition rate varying considerably with the etiology...



Spontaneous initiation of atrial fibrillation by ectopic beats originating in the pulmonary veins
M. Haissaguerre, P. Jais, D. C. Shah, A. Takahashi, M. Hocini, G. Quiniou, S. Garrigue, A. Le Mouroux, P. Le Metayer, J. Clementy

For the best part of the last century, Moe’s multiple wavelet reentry hypothesis prevailed in our understanding of the mechanism of sustained atrial fibrillation...



Atrioverter: an implantable device for the treatment of atrial fibrillation
H. J. Wellens, C. P. Lau, B. Luderitz, M. Akhbar, A. L. Waldo, A. J. Camm, C. Timmermans, H. F. Tse, W. Jung, L. Jordaens, G. Ayers

The demand for effective therapeutic strategies for atrial fibrillation has always been high and is anticipated to further increase...



A comparison of rate control and rhythm control in patients with atrial fibrillation
D. G. Wyse, A. L. Waldo, J.P. DiMarco, M. J. Domanski, Y. Rosenberg, E. B. Schron, J. C. Kellen, H. L. Greene, M. C. Mickey, J. E. Dalquist, S. D. Corley; Atrial Fibrillation Follow-Up Investigation of Rhythm Management (AFFIRM) Investigators

There are two main approaches to the management of atrial fibrillation: the first, most often pursued in patients with new-onset and persistent atrial fibrillation, is rhythm control aimed at restoration and maintenance of sinus rhythm; the second is to minimize symptoms by merely administering agents blocking the atrioventricular node...






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