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 Hetiljournal_title
Orvosi hetilapauthors
Lorincz I,Szabó Z,Simkó J,Szánthó E,Barta K,Füzi M,Szigeti Gdoi
10.1556/OH.2008.28466subject
Has Abstractpub_date
2008-10-26 00:00:00pages
2019-28issue
43eissn
0030-6002issn
1788-6120pii
M16732520JT140X3journal_volume
149pub_type
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