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From January 1983 to May 1992 a total of 40 patients with a tachysystolic type of atrial flutter (AF) refractory to preventive antiarrhythmic therapy were examined and operated on. The obligatory stage of a preoperative examination was invasive phonoelectrocardiography. The effects of "entrainment" and adaptation of refractory periods of various portions of atria were estimated depending on the duration of a basic stimulation cycle.

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From 1982 to the late 1990 thirty-three patients with tachysystolic atrial fibrillation refractory to preventive antiarrhythmic therapy were examined and operated on. Invasive electrophysiological investigation was a must in the preoperative examination. The "entrainment" and "adaptation" effects of the refractory periods of different parts of the atria were estimated depending on the duration of the basic cycle of pacing.

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The article analyses the late-term results of operations on 46 patients for paroxysms of supraventricular tachyarrhythmias (SVTA) which were refractory to prophylactic administration of antiarrhythmics. Transvenous electrodestruction of the atrio-ventricular junction were carried out in 39 patients. The results were good in 34 and satisfactory in 3 patients; conductivity and paroxysms reappeared in 2 patients.

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