CATHETER ABLATION FOR PERSISTENT ATRIAL FIBRILLATION IN CLASS IV SYSTOLIC CONGESTIVE HEART FAILURE

Heart Failure, Atrial Fibrillation, and Catheter Ablation

Contemporary cardiological practice places great emphasis on the availability of an evidence base to justify and refine indications for treatment. This is particularly apposite to the field of catheter ablation for atrial fibrillation (AF), where almost 2 decades of research at an increasingly frenetic pace has delivered us a potentially curative treatment in carefully selected patients. In dru...

Catheter ablation for atrial fibrillation in heart failure patients.

BACKGROUND Rhythm control with antiarrhythmic drugs (AADs) is not superior to rate control in patients with heart failure (HF) and atrial fibrillation (AF), but AF ablation may be more successful at achieving rhythm control than AADs. However, risks for both ablation and AADs are likely higher and success rates lower in patients with HF. OBJECTIVE To compare rate control versus AF catheter ab...

Catheter Ablation for Persistent Atrial Fibrillation.

Catheter ablation versus medical rate control for persistent atrial fibrillation in patients with heart failure

BACKGROUND The effectiveness of restoring the sinus rhythm by catheter ablation relative to that of medical rate control for persistent atrial fibrillation (AF) patients with heart failure (HF) remains to be defined. METHODS We systematically searched Embase, Pubmed, the Cochrane Library, and ClinicalTrials.gov for articles that compared the outcomes of interest between catheter ablation and ...

Catheter Ablation of Persistent Atrial Fibrillation

Catheter ablation for symptomatic, drug-resistant atrial fibrillation (AF) has become an important therapeutic option over the past decade. Pulmonary vein isolation (PVI) has been established as the cornerstone for ablation of paroxysmal AF. However, there is a dearth of data regarding the ideal approach for patients with persistent AF. It is generally accepted that PVI alone is insufficient fo...