Atrial fibrillation and the expanding role of catheter ablation: do antiarrhythmic drugs have a future?

Abstract:

:The main therapeutic strategies for treating atrial fibrillation include rate control, maintenance of sinus rhythm, and antiembolic treatment. Current antiarrhythmic drugs are effective in about 50% of patients and are often associated with adverse effects. Multiple trials suggest that rate control with proper anticoagulation treatment is associated with a similar prognosis to a more aggressive rhythm control strategy. Catheter ablation of atrial fibrillation has success rates that exceed currently available antiarrhythmic drugs. However, catheter ablation is an evolving technique that can result in complications. In some patients, antiarrhythmic drugs are still required following ablation. New antiarrhythmic drug strategies include developing drugs that are more atrial selective, alteration of the multichannel blocking agent, amiodarone, or the development of drugs with novel mechanisms of action such as gap junction facilitation of conduction. Although catheter ablation procedures will continue to grow, the millions of atrial fibrillation patients who will require therapy will continue to make antiarrhythmic drug therapy an important part of our ongoing therapeutic armamentarium.

journal_name

J Cardiovasc Pharmacol

authors

Naccarelli GV,Gonzalez MD

doi

10.1097/FJC.0b013e318175dd73

subject

Has Abstract

pub_date

2008-09-01 00:00:00

pages

203-9

issue

3

eissn

0160-2446

issn

1533-4023

pii

00005344-200809000-00001

journal_volume

52

pub_type

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