Administration of isoproterenol and adenosine to guide supplemental ablation after pulmonary vein antrum isolation.

@article{Elayi2013AdministrationOI,
  title={Administration of isoproterenol and adenosine to guide supplemental ablation after pulmonary vein antrum isolation.},
  author={Claude S Elayi and Luigi Di Biase and Rong Bai and John David Burkhardt and Prasant Mohanty and Pasquale Santangeli and Javier E. Reyes Sanchez and Richard H. Hongo and G. Joseph Gallinghouse and Rodney P Horton and Shane M Bailey and Salwa Beheiry and Andrea Natale},
  journal={Journal of cardiovascular electrophysiology},
  year={2013},
  volume={24 11},
  pages={1199-206}
}
BACKGROUND Pulmonary vein antrum isolation (PVAI) remains associated with atrial fibrillation (AF) recurrence. We administered adenosine and isoproterenol (ISP) after PVAI to uncover non-PV atrial triggers and PV reconnection, potentially increasing ablation success rate. METHODS One hundred and ninety-two consecutive patients with symptomatic AF presenting for PVAI were prospectively studied (group 1). Following PVAI, adenosine (18-24 mg) and ISP (20-30 mcg/min) were administered… CONTINUE READING
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