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Chest, Vol 91, 461-462, Copyright © 1987 by American College of Chest Physicians


ARTICLES

Catheter ablation of the atrioventricular junction and activity responsive pacing. Effect on refractory atrial fibrillation with hypertrophic cardiomyopathy

PJ Daley, PD Chapman and PJ Troup

A 50-year-old man had chronic atrial fibrillation that was refractory to conventional therapy. He was intolerant of amiodarone, but successfully managed by transcatheter atrioventricular junction ablation. Activity-initiated rate-responsive ventricular pacing resulted in a fourfold greater increase in cardiac output with exercise compared to fixed rate pacing.





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Copyright © 1987 by the American College of Chest Physicians.