--- abstract: 'Patients in normal sinus rhythm have lesser stroke rate, better functional class and quality of life than those in atrial fibrillation. Adding a surgical procedure to cure atrial fibrillation in patients needing correction of structural heart disease has been shown to be a safe option, which benefits the majority in restoration of sinus rhythm. Age is no bar to implement this option. The same does not hold true for lone atrial fibrillation. The affirm trial has shown that there is need for improved treatment strategies for patients in atrial fibrillation, although young patients were not represented in sizable proportion. There is need to develop curative treatment for patients with lone atrial fibrillation. And there are technological advances in the form of ablative energy sources and hardware for applying these with minimal invasion. “Between tomorrow’s dream and yesterday’s regret is today’s opportunity”. Let’s make the best of it!' altloc: - http://www.ipej.org/0504/patwardhan.htm chapter: ~ commentary: ~ commref: ~ confdates: ~ conference: ~ confloc: ~ contact_email: ~ creators_id: [] creators_name: - family: Patwardhan given: AM honourific: '' lineage: '' date: 2005-10 date_type: published datestamp: 2005-11-12 department: ~ dir: disk0/00/00/44/55 edit_lock_since: ~ edit_lock_until: ~ edit_lock_user: ~ editors_id: [] editors_name: - family: Singh given: Balbir honourific: '' lineage: '' - family: Lokhandwala given: Yash honourific: '' lineage: '' - family: Francis given: Johnson honourific: '' lineage: '' - family: Gupta given: Anup honourific: '' lineage: '' eprint_status: archive eprintid: 4455 fileinfo: /style/images/fileicons/text_html.png;/4455/1/patwardhan.htm|/style/images/fileicons/application_pdf.png;/4455/2/patwardhan.pdf full_text_status: public importid: ~ institution: ~ isbn: ~ ispublished: pub issn: ~ item_issues_comment: [] item_issues_count: 0 item_issues_description: [] item_issues_id: [] item_issues_reported_by: [] item_issues_resolved_by: [] item_issues_status: [] item_issues_timestamp: [] item_issues_type: [] keywords: Atrial fibrillation; surgical ablation lastmod: 2011-03-11 08:56:08 latitude: ~ longitude: ~ metadata_visibility: show note: ~ number: 4 pagerange: 251-253 pubdom: TRUE publication: Indian Pacing and Electrophysiology Journal publisher: Indian Pacing and Electrophysiology Group refereed: TRUE referencetext: |+ 1. FeinburgWM, Blackshear JL, Laupasias A. et al. Prevalence, gender and age distribution of patients with atrial fibrillation . Analysis and implications. Arch Intern. Med. 1995; 155:469-73 2. Cox JL, Ad N, Palazzo T. Impact of the maze procedure on the stroke rate in patients with atrial fibrillation. J Thorac Cardiovasc Surg 1999; 118:833-840 3. Vaturi M, Sajie A, Shapira Y. et al. Impact of atrial fibrillation on clinical status, atrial size and hemodynamics in patients after mitral valve replacement. J Heart Valve Dis. 2001; 10:763-6 4. Lonnerholm S, Blomstrom P, Nilsson L. et al. Effects of the maze operation on health-related quality of life in patients with atrial fibrillation. Circulation. 2000;101:2607-11. 5. Geidel S, Lass M, Ostermeyer J. Permanent Atrial Fibrillation Ablation Surgery in Patients with Advanced Age. Indian Pacing Electrophysiol. J. 2005; 5(4):254 [Free Full Text] 6. Benjamin EJ, Wolf PA, D’Agostino RB et al. Impact of atrial fibrillation on the risk of death. The Framingham heart study. Circulation 1998; 98:946-52 7. Wyse DG, Waldo AL, DiMarco JP, Domanski MJ, Rosenberg Y, Schron EB, Kellen JC, Greene HL, Mickel MC, Dalquist JE, Corley SD; Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) Investigators. A comparison of rate control and rhythm control in patients with atrial fibrillation. N Engl J Med. 2002 Dec 5;347(23):1825-33. 8. Marrouchhe NF, Dressing T, Cole C et al.Circular mapping and ablation of the pulmonary vein for treatment of atrial fibrillation : impact of different catheter technologies. J Am Coll Cardiol. 2002;40:464-474 9. Cox JL, AD N, Palazzo T et al Current status of the Maze procedure for the treatment of atrial fibrillation. Semin Thorac Cardiovasc Surg 2000;12:15-9 10. Schaff HV, Dearani JA, Daly RC et al. Cox Maze procedure for atrial fibrillation : Mayo clinic experience. . Semin Thorac Cardiovasc Surg 2000;12:30-7 11. Saltman AE, Rosenthal AS,Francalansia NA et al. A complete endoscopic approach to microwave ablation for atrial fibrillation Heart Surg Forum 2003; 6:E38-41 relation_type: [] relation_uri: [] reportno: ~ rev_number: 14 series: ~ source: ~ status_changed: 2007-09-12 16:59:59 subjects: - ipej succeeds: ~ suggestions: ~ sword_depositor: ~ sword_slug: ~ thesistype: ~ title: 'Ablation Surgery for Atrial Fibrillation: "Freeze it or Buzz it; Just do it and Cure it"' type: journalp userid: 4424 volume: 5