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Graeme Weir
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Right arrow Electrophysiology - arrhythmias

Ann Thorac Surg 2006;82:357-364
© 2006 The Society of Thoracic Surgeons

Review

Current Strategies in the Management of Atrial Fibrillation

Marjan Jahangiri, FRCS a , * , Graeme Weir, MRCS a , Kaushik Mandal, FRCS a , Irina Savelieva, MD b , John Camm, FRCP b

a Department of Cardiac Surgery, St. George's Hospital Medical School, London, United Kingdom
b Department of Cardiac and Vascular Sciences, St. George's Hospital Medical School, London, United Kingdom

* Address correspondence to Dr Jahangiri, Department of Cardiac Surgery, St. George's Hospital, Blackshaw Road, London SW17 OQT, United Kingdom (Email: marjan.jahangiri{at}stgeorges.nhs.uk).

Treatment of atrial fibrillation (AF) has been undergoing significant changes recently. This is due partly to different mechanisms proposed for persistent and permanent AF and partly due to the introduction of energy-based techniques, providing less invasive procedures. This article aims to review the mechanisms of AF leading to the changes in clinical practice and to review the results of surgery, energy-based, and percutaneous techniques. It is difficult to compare and contrast the results of reported series in the literature due to different definitions of AF; freedom from and recurrence of it. Furthermore, in most series it is difficult to distinguish results of surgery for lone AF and AF associated with valvular heart disease and coronary artery disease.




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