医学
烧蚀
心房颤动
肺静脉
心脏病学
心率变异性
自主神经系统
内科学
导管消融
病变
射频消融术
心率
外科
血压
作者
Chiara Valeriano,Chiara Valeriano,Dimitri Buytaert,Lucio Addeo,Lucio Addeo,Koen De Schouwer,Peter Geelen,Tom De Potter
标识
DOI:10.1016/j.hrthm.2024.04.075
摘要
The autonomic nervous system (ANS) plays a pivotal role in the onset and maintenance of atrial fibrillation (AF). During thermal ablation, the epicardial ganglionated plexi (GP) can inadvertently be affected, as indicated by a post-ablation increase in heart rate (HR) and decrease of heart rate variability (HRV), potentially impacting post-procedural outcomes. Pulsed‐field ablation (PFA) offers a safer and potentially more effective alternative, as lesion transmurality is not inversely related to safety as in thermal ablation.
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