[Atrial fibrillation and the autonomous nervous system].

Abstract:

:The autonomic nervous system has a crucial role in the genesis, maintenance and abruption of atrial fibrillation. The substrate and trigger mechanism of atrial fibrillation can be influenced by the changing autonomic tone. The authors summarize the current knowledge on the relationship between autonomic nervous system and atrial fibrillation. The special neuroanatomical status and the role of autonomic reflexes and baroreflex in the initiation, maintenance, and termination of arrhythmia are reviewed. Furthermore, the mechanism and consequences of autonomic effect of the curative radiofrequency catheter ablation of pulmonary vein with atrial vagal neuroablation are discussed. At the end we also summarize the pharmacologic therapy of atrial fibrillation. Classification of atrial fibrillation, as either vagal or adrenergic, has only limited impact on current management.

journal_name

Orv Hetil

journal_title

Orvosi hetilap

authors

Lorincz I,Szabó Z,Simkó J,Szánthó E,Barta K,Füzi M,Szigeti G

doi

10.1556/OH.2008.28466

subject

Has Abstract

pub_date

2008-10-26 00:00:00

pages

2019-28

issue

43

eissn

0030-6002

issn

1788-6120

pii

M16732520JT140X3

journal_volume

149

pub_type

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