156 research outputs found

    Behandeling van hartritmestoornissen met katheterisatie: reële hoop op genezing ?

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    Progrès en cardiologie interventionnelle pour la correction des troubles du rythme.

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    Le traitement non pharmacologique des arythmies: ce que le médecin généraliste doit savoir.

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    Important advances have been made in the field of supraventricular and ventricular tachycardias. Catheter ablation procedures are potentially curative in many patients suffering of supraventricular tachycardias. The technique uses radiofrequency current. This form of energy is already very familiar to surgeons. Expected benefits as well as potential complications have to be discussed with the patient prior to the ablation procedure. The automatic internal defibrillator has been commercially available since the end of the eighties. It delivers electrical therapy in case of ventricular malignant arrhythmias, for instance ventricular fibrillation. The sudden death rate is markedly reduced in implanted patients. The long term prognosis however remains critically dependent of the left ventricular function and possible progressive heart failure. Reimbursement depends on pre-implant agreement by the Social Security. At the present time, no reimbursement is provided for prophylactic indications. These two techniques facilitates the treatment of patients previously described as "resistant cases".English AbstractJournal ArticleReviewSCOPUS: ar.jinfo:eu-repo/semantics/publishe

    New technologies in pacing: The different possible algorithms

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    Les aspects cardiovasculaires des vertiges

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    Fibrillation auriculaire résistante: jusqu'ou faut-il aller dans le traitement?

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    Resistant atrial fibrillation consists in recurrent or persistent fibrillation despite a conventional treatment persistent. When conventional treatments (drugs, external defibrillation) fails, we have the following options: internal defibrillation, pacemaker implantation either standard or with biatrial pacing, curative or palliative radiofrequency ablation techniques, antiarrhythmic surgery, atrial defibrillator implantation. These different treatment modalities, isolated or combined will frequently be able to reduce the patient symptoms and some of at them may suppress the majority of atrial fibrillation episodes. Not all these treatments are widely used at the present time but a lot of research is being done about them. The purpose of this article is to describe their use in resistant patients.English AbstractJournal ArticleSCOPUS: ar.jinfo:eu-repo/semantics/publishe

    Single chamber pacing: from basics to clinics

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