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Skip to main page content home subscriptions archives feedback authors help circulation journals home aha journals home search: go advanced search user name password sign in â« previous article | table of contents | next article â» circulation. 2008;118:s_771 (circulation. 2008;118:s_771. buy viagra online ) â© 2008 american heart association, inc. viagra online Catheter ablation of atrial fibrillation abstract 2752: pulmonary vein isolation with and without additional ablation of complex fractionated electrograms in paroxysmal atrial fibrillation: long-term results of a prospective randomized study isabel deisenhofer1; tilko reents1; heidi l estner1; stephanie fichtner1; christian von bary1; ekrem uecer1; claus schmitt2; armin luik2; klinikum karlsruhe2; martin r karch3; gabriele hessling3 1 deutsches herzzentrum muenchen, munich, germany 2 karlsruhe, germany 3 deutsches herzzentrum muenchen, munich, germany introduction: segmental pulmonary vein isolation (pvi) leads to elimination of paroxysmal atrial fibrillation (af) in approximately 75% of patients. viagra samples Ablation of complex fractionated atrial electrograms (cfae) is an alternative ablation strategy. can viagra used after expiration date In this prospective randomized study the long-term effect of pvi alone is compared to the effect of combined pvi and cfae ablation in paroxysmal af. Methods: 98 patients with paroxysmal af (57â±10 years, 74 male) were randomly assigned to pvi (48 patients) or pvi+cfae ablation (50 patients). Additional cfae ablation was performed in the pvi+cfae group if af was still inducible after pvi. women love viagra Follow-up results were assessed with repetitive 7 days holter ecg and clinical evaluation including repeat ablations. viagra for sale australia Results: additional cfae ablation was performed in 30/50 (60%) patients of the pvi+cfae group with still inducible af after pvi. cheap generic viagra In each group, 2 patients were lost to long term follow-up. buy generic viagra online In the intention-to-treat analysis at 3 months and after 19â±8 months, there was no significant difference between both groups (36/48 [75%] and 34/46 [74%] patients in the pvi and 37/50 [73%] and 40/48 [83%] of patients in the pvi+cfae ablation group in sinus rhythm [p=0. generic viagra canada 32]). In subgroup analysis, patients actually treated with the combined pvi+cfae ablation approach had a significantly better long-term success (25/28; 89%) than patients with still inducible af who underwent pvi only (22/30;73%; p=0. 02). In both groups repeat ablations were performed in 31% (pvi group; 15/48 patients) and 35% (pvi+cfae group; 17/48 patients) (p=n. S). After 9 months, significantly more patients in the pvi+cfae group experienced sustained regular atrial tachycardia than in the pvi group (6/44 versus 1/39 patients, p=0. how long does viagra last for you 02). how long does viagra last for you Conclusion: the combination of pvi and cfae ablation was equally effective than pvi alone in reaching freedom of af in the intention-to-treat analysis. During long-term follow-up, patients actually treated with combined pvi. how long does viagra last for you We can make your spa cover in standard density or higher
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