Δημήτριος Λυσίτσας, md, phd,...
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Δημήτριος Λυσίτσας, MD, PhD, MRCP
Επεμβατικός Ηλεκτροφυσιολόγος
Διευθυντής Τμήματος Ηλεκτροφυσιολογίας και Βηματοδοτών
Ιατρικό Διαβαλκανικό Κέντρο
Θεσσαλονίκη
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Educational funds: Biosense Webster, St Jude, Boston Scientific
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AF is the result of gradual atrial remodeling
1.Το 1o επεισόδιο ίσως είναι η όψιμη εμφάνιση της νόσου
1.Το 1o επεισόδιο ......ίσως δεν είναι το 1o
Πρέπει να προλάβουμε την νόσο στην αρχή της
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Murakoshi et al, EHJ 2015
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Jarrett Smith et al, HRC 2015
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Hussein et al, Circ EP 2016
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Heart Rhythm 2010
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Pathak et al, JACC 2014
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Kuck et al, NEJM 2016
FIRE AND ICE TRIAL
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Lin et al Europace 2013
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Bunch TJ et al, Heart Rhythm 2013
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Jones et al, JACC 2013
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Piccini et al , EHJ 2015
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AADs vs redo ablation
Steinberg et al HRS 2013
arrhythmia burden was monitored on implantable loop recorders
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Clinical visits per year 7.4 (2.5) 1.1 (0.6)
Emergency room visits per year
1.7 (0.9) 0.03 (0.17)
Hospitalization days per year 1.6 (0.8) 0 (0)
Healthcare costs per year $1920 (889) $87 (68)
No ablation Catheter ablation
Goldberg A, et al. J Interv Card Electrophysiol (2003) 8: 59
Although the initial cost of ablation is high, after ablation, utilization of healthcare resources is significantly reduced
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Όταν έχεις να ανέβεις ένα βουνό, μη νομίζεις
ότι θα γίνει μικρότερο αν περιμένεις.
De Vos te al JACC 2010
H. Jackson Brown