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The equipment cost and lack of specialized training have limited the widespread use of PFA, making it unavailable to many patients. [8] Recent (2024) comparisons of PFA with thermal methods have shown reduced time spent in surgery, but no superiority in safety and no better reduction of atrial fibrillation. [10]
Often, several procedures are needed to raise the success rate to a 70–80% range. [5] One reason for this may be that once the heart has undergone atrial remodeling as in the case of chronic atrial fibrillation patients, largely 50 and older, it is much more difficult to correct the 'bad' electrical pathways.
One study reported a diagnosis in 73% of subjects using ILRs, against 21% with conventional strategies, while also proving to be more cost-effective despite higher initial costs. [6] Another study focused on ILR use for detecting asymptomatic atrial fibrillation in individuals aged 70-90 years with additional stroke risk factors.
Radiofrequency ablation (RFA), also called fulguration, [1] is a medical procedure in which part of the electrical conduction system of the heart, tumor, sensory nerves or a dysfunctional tissue is ablated using the heat generated from medium frequency alternating current (in the range of 350–500 kHz).
After the procedure, the patient is monitored to ensure stability of the sinus rhythm. Synchronized electrical cardioversion is used to treat hemodynamically unstable supraventricular (or narrow complex) tachycardias, including atrial fibrillation and atrial flutter.
A single chamber ICD with its right ventricular lead connected into the header; note, starting from the end of the lead, the tip and adjacent first ring, used to sense the cardiac electrical activity and stimulate the right ventricle, the coil and the two rings for atrial sensing. On average ICD batteries last about six to ten years. [2]
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