1997
DOI: 10.1016/s0002-9149(97)00328-7
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Failure of Single- and Multisite High-Frequency Atrial Pacing to Terminate Atrial Fibrillation

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Cited by 15 publications
(20 citation statements)
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“…8 -10 Even when 50-Hz burst pacing was delivered to single or dual sites in the right atrium, AF could not be terminated. 11,12 Because AF is difficult to terminate by overdrive pacing, it could be argued that the 30% efficacy of pacing in the present study does not reflect the actual rate of conversion of AF to sinus rhythm. The 30% pacing efficacy could have included some episodes of AT that were classified by the device as AF and were successfully terminated by overdrive pacing (Figure 3).…”
Section: Discussionmentioning
confidence: 70%
“…8 -10 Even when 50-Hz burst pacing was delivered to single or dual sites in the right atrium, AF could not be terminated. 11,12 Because AF is difficult to terminate by overdrive pacing, it could be argued that the 30% efficacy of pacing in the present study does not reflect the actual rate of conversion of AF to sinus rhythm. The 30% pacing efficacy could have included some episodes of AT that were classified by the device as AF and were successfully terminated by overdrive pacing (Figure 3).…”
Section: Discussionmentioning
confidence: 70%
“…Paladino and coworkers induced atrial fibrillation in 28 patients and attempted high frequency pacing from single and multiple sites, with no terminations. 16 Similar work with varying burst durations of 50 Hz atrial pacing revealed termination in six of 10 patients with atypical atrial flutter but no success in any patients with atrial fibrillation. 17 Our study investigated the effects of atrial treatments in a specific group of patients with persistent atrial fibrillation only.…”
Section: Discussionmentioning
confidence: 90%
“…Antitachycardia pacing has been proven to be effective in the termination of acute atrial tachyarrhythmias 12–16,18,25 . However, the value of HF pacing algorithms in reducing AF burden remains controversial 18–22 . The main contribution of this study is to demonstrate that HF pacing is significantly more effective in terminating acute AF as compared to no pacing within a prospective, randomized, controlled trial.…”
Section: Discussionmentioning
confidence: 96%
“…In contrast, the majority of experimental 7–11 and clinical 18,19 trials failed to prove efficacy of pace‐termination of AF. These conflicting results may arise from the fact that most studies with implantable devices do not differentiate between AF and AAFL; however, the latter appears to be affected by HF pacing more successfully 13–15,18,19 . Furthermore, the pacing site may also influence the outcome.…”
Section: Introductionmentioning
confidence: 99%