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AV-node ablation (AVNA) is a common therapy option for rate control strategy of permanent atrial fibrillation with numerous side effects. The investigators hypothesised that an isolation of the AV node is concomitant with less occurrence of new bundle brunch blocks, more frequent preservation and higher rate of escape rhythm compared to AVNA. This retrospective study includes 20 patients being treated with AV-node isolation (AVNI) and 40 historical AVNA-controls. Among others these two methods were compared regarding escape rhythm, delta QRS, procedure time, ablation points, fluoroscopy time and total dose area product (DAP).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| AVNA group | Group of historical controls beeing treated with AV-node ablation |
| |
| AVNI group | Inculudes all patients beeing treated with AV-node isolation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AV-node isolation | Procedure | Abaltion performed in the right atrium isolating the AV-node from the atrium |
|
| Measure | Description | Time Frame |
|---|---|---|
| AV-node escape rhythm | intraoperative, follow-up after 1 to 3 month | |
| bundle branch blocks | intraoperative, follow-up after 1 to 3 month |
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Inclusion Criteria:
Exclusion Criteria:
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Patients admitted to Heart- and Diabetes Centre NRW for AV-node ablation/isolation.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Herz- und Diabeteszentrum NRW, Ruhr-Universität Bochum | Bad Oeynhausen | 32545 | Germany |
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| ID | Term |
|---|---|
| D001281 | Atrial Fibrillation |
| ID | Term |
|---|---|
| D001145 | Arrhythmias, Cardiac |
| D006331 | Heart Diseases |
| D002318 | Cardiovascular Diseases |
| D010335 | Pathologic Processes |
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| AV-node ablation | Procedure | Right sided ablation of the AV-node |
|
|
| D013568 |
| Pathological Conditions, Signs and Symptoms |