Display options
Cite
Jordaens L. A clinical approach to arrhythmias revisited in 2018 : From ECG over noninvasive and invasive electrophysiology to advanced imaging. Neth Heart J. 2018;26(4):182-189doi: 10.1007/s12471-018-1089-1.
Jordaens, L. (2018). A clinical approach to arrhythmias revisited in 2018 : From ECG over noninvasive and invasive electrophysiology to advanced imaging. Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation, 26(4), 182-189. https://doi.org/10.1007/s12471-018-1089-1
Jordaens, L. "A clinical approach to arrhythmias revisited in 2018 : From ECG over noninvasive and invasive electrophysiology to advanced imaging." Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation vol. 26,4 (2018): 182-189. doi: https://doi.org/10.1007/s12471-018-1089-1
Jordaens L. A clinical approach to arrhythmias revisited in 2018 : From ECG over noninvasive and invasive electrophysiology to advanced imaging. Neth Heart J. 2018 Apr;26(4):182-189. doi: 10.1007/s12471-018-1089-1. PMID: 29450695; PMCID: PMC5876171.
Copy Download .nbib Format: NLM
Share it on

Neth Heart J. 2018 Apr;26(4):182-189. doi: 10.1007/s12471-018-1089-1.

A clinical approach to arrhythmias revisited in 2018 : From ECG over noninvasive and invasive electrophysiology to advanced imaging.

Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation

L Jordaens

Affiliations

  1. Department of Cardiology, University Hospital, Ghent, Belgium. [email protected].

PMID: 29450695 PMCID: PMC5876171 DOI: 10.1007/s12471-018-1089-1

Abstract

Understanding arrhythmias and their treatment is not always easy. The current straightforward approach with catheter ablation and device therapy is an amazing achievement, but does not make management of underlying or other cardiac disease and pharmacological therapy unnecessary. The goal of this paper is to describe how much of the knowledge of the 1980s and early 1990s can and should still be applied in the modern treatment of patients with arrhythmias. After an introduction, this review will focus on paroxysmal atrial fibrillation and a prototype of 'idiopathic' ventricular arrhythmias, two diseases with a striking similarity, and will discuss the arrhythmogenesis. The ECG continues to play an important role in diagnostics. Both diseases are associated with a structurally normal heart; the autonomic nervous system plays an important role in triggering arrhythmias at both the atrial and ventricular level.

Keywords: Arrhythmia mechanisms; Atrial fibrillation; Autonomic nervous system; Outflow tract arrhythmias; Ventricular extrasystoles

References

  1. Europace. 2016 Oct;18(10 ):1491-1500 - PubMed
  2. Heart. 1998 Apr;79(4):388-93 - PubMed
  3. J Am Coll Cardiol. 1991 Mar 15;17(4):985-90 - PubMed
  4. N Engl J Med. 2016 Sep 29;375(13):1221-30 - PubMed
  5. N Engl J Med. 1991 Jun 6;324(23):1612-8 - PubMed
  6. Am Heart J. 2012 Sep;164(3):292-302.e1 - PubMed
  7. N Engl J Med. 1989 Aug 10;321(6):406-12 - PubMed
  8. Circulation. 1967 Nov;36(5):644-62 - PubMed
  9. Neth Heart J. 2013 Jul;21(7-8):354-63 - PubMed
  10. Circ Res. 2009 Jan 2;104(1):19-31 - PubMed
  11. Neth Heart J. 2005 Dec;13(12):439-443 - PubMed
  12. Int J Cardiol. 2013 May 10;165(2):385-7 - PubMed
  13. Eur J Cardiovasc Nurs. 2008 Jun;7(2):147-51 - PubMed
  14. Heart Rhythm. 2016 Dec;13(12 ):2317-2322 - PubMed
  15. Eur J Heart Fail. 2007 Nov;9(11):1128-35 - PubMed
  16. Nat Rev Cardiol. 2015 Oct;12(10):597-608 - PubMed
  17. Am J Cardiol. 1998 Jul 1;82(1):22-5 - PubMed
  18. J Am Coll Cardiol. 2016 Sep 13;68(11):1155-1165 - PubMed
  19. J Am Coll Cardiol. 1993 Jul;22(1):80-4 - PubMed
  20. Exp Physiol. 2009 Jan;94(1):46-53 - PubMed
  21. Circulation. 1989 May;79(5):990-9 - PubMed
  22. Europace. 2016 Oct;18(10 ):1455-1490 - PubMed
  23. Circ Arrhythm Electrophysiol. 2015 Dec;8(6):1334-41 - PubMed
  24. Europace. 2015 Nov;17(11):1601-87 - PubMed
  25. Heart Rhythm. 2014 May;11(5):771-6 - PubMed
  26. Eur Heart J. 1987 Feb;8(2):92-9 - PubMed
  27. Eur Heart J. 2006 Apr;27(8):949-53 - PubMed
  28. Europace. 2016 Nov;18(11):1609-1678 - PubMed
  29. Eur Heart J. 2014 Jul 1;35(25):1642-51 - PubMed
  30. Cochrane Database Syst Rev. 2012 May 16;(5):CD005049 - PubMed
  31. Br J Sports Med. 2012 Nov;46 Suppl 1:i37-43 - PubMed
  32. Pacing Clin Electrophysiol. 1984 Nov;7(6 Pt 2):1345-50 - PubMed
  33. J Thorac Cardiovasc Surg. 1985 Oct;90(4):490-501 - PubMed
  34. N Engl J Med. 1998 Sep 3;339(10):659-66 - PubMed
  35. Heart. 2014 May;100(10):787-93 - PubMed
  36. Am Heart J. 1959 Jul;58(1):59-70 - PubMed
  37. Europace. 2015 Oct;17 Suppl 2:ii1-6 - PubMed
  38. Auton Neurosci. 2016 Aug;199:29-37 - PubMed
  39. J Clin Invest. 1988 Mar;81(3):688-99 - PubMed
  40. Circulation. 1997 Nov 4;96(9):3157-63 - PubMed
  41. Eur Heart J. 2008 Mar;29(5):632-9 - PubMed
  42. J Interv Card Electrophysiol. 2012 Dec;35(3):301-9; discussion 309 - PubMed
  43. Arch Mal Coeur Vaiss. 1980 Feb;73(2):153-64 - PubMed
  44. Acta Clin Belg. 1988;43(3):209-18 - PubMed
  45. Circ Res. 1981 Jul;49(1):1-15 - PubMed
  46. Circ Arrhythm Electrophysiol. 2014 Aug;7(4):691-700 - PubMed
  47. N Engl J Med. 2015 May 7;372(19):1812-22 - PubMed
  48. Eur Heart J. 1991 Oct;12(10):1112-31 - PubMed
  49. J Cardiovasc Electrophysiol. 1996 Oct;7(10):999-1007 - PubMed
  50. Eur Heart J. 2007 Oct;28(19):2338-45 - PubMed
  51. Am J Cardiol. 1999 Mar 15;83(6):880-4 - PubMed
  52. Circulation. 2002 Aug 20;106(8):962-7 - PubMed
  53. Pacing Clin Electrophysiol. 1988 Nov;11(11 Pt 1):1621-6 - PubMed
  54. N Engl J Med. 1974 Dec 19;291(25):1324-6 - PubMed
  55. JAMA. 2014 Feb 5;311(5):498-506 - PubMed
  56. Cardiology. 1998;89(1):19-24 - PubMed
  57. Ann Thorac Surg. 1992 Apr;53(4):564-70; discussion 571 - PubMed
  58. Am J Cardiol. 1994 Dec 1;74(11):1124-8 - PubMed

Publication Types