Interventional approaches in atrial fibrillation

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Abstract

One of the most common heart rhythm disorders today is atrial fibrillation (AF). Worldwide, there are about 33 million people suffering from AF. In Europe, this number is more than 6 million, in Russia — about 2.5 million people. Initially, the main method of treatment was drug therapy. However, with the development of modern technologies, possible mechanisms for the development and maintenance of AF have a crucial importance. In connection with the emergence of new theories, there are also new methods of surgical and/or interventional treatment of AF. The article provides a comprehensive analysis of the current state of interventional treatment of patients with various forms of atrial fibrillation.

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About the authors

Andrey G. Filatov

A.N. Bakulev National Medical Research Center of Cardiovascular Surgery

Author for correspondence.
Email: agfilatov@bakulev.ru
ORCID iD: 0000-0002-7026-7814
SPIN-code: 4187-8717

MD, PhD

Russian Federation, Moscow

Elena Z. Golukhova

A.N. Bakulev National Medical Research Center of Cardiovascular Surgery

Email: egolukhova@bakulev.ru
ORCID iD: 0000-0002-6252-0322
SPIN-code: 9334-5672

MD, PhD, Professor, Academician of the RAS

 

Russian Federation, Moscow

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Supplementary files

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1. JATS XML
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2. Figure 1. Mechanisms for the development of AF maintenance

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3. Figure 2. RFA of the pulmonary veins

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4. Figure 3. Biophysics of myocardial heating in RFA

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5. Figure 4. Cryoballoon isolation of pulmonary vein ostia

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6. Figure 5. Multi-electrode pulsed field ablation catheter deployed in the shape of a flower

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7. Figure 6. High-density electroanatomical activation mapping of the left atrium in a patient after cryoballoon ablation (A) and after posterior wall isolation (B)

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