Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure
Although pharmacological rhythm control of AF in patients with heart failure with reduced ejection fraction (HFrEF) does not seem to provide any benefit over rate control, catheter ablation of AF has been shown to improve clinical outcomes. These results can be explained with higher success rates of...
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| Format: | Article |
| Language: | English |
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Radcliffe Medical Media
2020-04-01
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| Series: | Cardiac Failure Review |
| Online Access: | https://www.cfrjournal.com/articleindex/cfr.2019.03 |
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| author | Michela Faggioni Domenico G Della Rocca Sanghamitra Mohanty Chintan Trivedi Ugur Canpolat Carola Gianni Amin Al-Ahmad Rodney Horton Gerald Joseph Gallinghouse John David Burkhardt Andrea Natale |
| author_facet | Michela Faggioni Domenico G Della Rocca Sanghamitra Mohanty Chintan Trivedi Ugur Canpolat Carola Gianni Amin Al-Ahmad Rodney Horton Gerald Joseph Gallinghouse John David Burkhardt Andrea Natale |
| author_sort | Michela Faggioni |
| collection | DOAJ |
| description | Although pharmacological rhythm control of AF in patients with heart failure with reduced ejection fraction (HFrEF) does not seem to provide any benefit over rate control, catheter ablation of AF has been shown to improve clinical outcomes. These results can be explained with higher success rates of catheter ablation in restoring and maintaining sinus rhythm compared with antiarrhythmic drugs. In addition, pharmacotherapy is not void of side-effects, which are thought to offset its potential antiarrhythmic benefits. Therefore, efforts should be made towards optimisation of ablation techniques for AF in patients with HFrEF. |
| format | Article |
| id | doaj-art-73f3cc84ba8846c28d4ddc4c26936862 |
| institution | Kabale University |
| issn | 2057-7540 2057-7559 |
| language | English |
| publishDate | 2020-04-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | Cardiac Failure Review |
| spelling | doaj-art-73f3cc84ba8846c28d4ddc4c269368622024-12-14T16:01:52ZengRadcliffe Medical MediaCardiac Failure Review2057-75402057-75592020-04-01610.15420/cfr.2019.03Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart FailureMichela Faggioni0Domenico G Della Rocca1Sanghamitra Mohanty2Chintan Trivedi3Ugur Canpolat4Carola Gianni5Amin Al-Ahmad6Rodney Horton7Gerald Joseph Gallinghouse8John David Burkhardt9Andrea Natale10Department of Medicine, James J Peters Veterans Affairs Medical Center, New York, NY, USTexas Cardiac Arrhythmia Institute, St David’s Medical Center, Austin, TX, USTexas Cardiac Arrhythmia Institute, St David’s Medical Center, Austin, TX, USTexas Cardiac Arrhythmia Institute, St David’s Medical Center, Austin, TX, USTexas Cardiac Arrhythmia Institute, St David’s Medical Center, Austin, TX, US; Department of Cardiology, Faculty of Medicine, Hacettepe University, Ankara, TurkeyTexas Cardiac Arrhythmia Institute, St David’s Medical Center, Austin, TX, USTexas Cardiac Arrhythmia Institute, St David’s Medical Center, Austin, TX, USTexas Cardiac Arrhythmia Institute, St David’s Medical Center, Austin, TX, USTexas Cardiac Arrhythmia Institute, St David’s Medical Center, Austin, TX, USTexas Cardiac Arrhythmia Institute, St David’s Medical Center, Austin, TX, USTexas Cardiac Arrhythmia Institute, St David’s Medical Center, Austin, TX, US; Interventional Electrophysiology, Scripps Clinic, La Jolla, CA, US; Department of Cardiology, MetroHealth Medical Center, School of Medicine, Case Western Reserve University, Cleveland, OH, US; Division of Cardiology, Stanford University, Stanford, CA, US; Atrial Fibrillation and Arrhythmia Center, California Pacific Medical Center, San Francisco, CA, USAlthough pharmacological rhythm control of AF in patients with heart failure with reduced ejection fraction (HFrEF) does not seem to provide any benefit over rate control, catheter ablation of AF has been shown to improve clinical outcomes. These results can be explained with higher success rates of catheter ablation in restoring and maintaining sinus rhythm compared with antiarrhythmic drugs. In addition, pharmacotherapy is not void of side-effects, which are thought to offset its potential antiarrhythmic benefits. Therefore, efforts should be made towards optimisation of ablation techniques for AF in patients with HFrEF.https://www.cfrjournal.com/articleindex/cfr.2019.03 |
| spellingShingle | Michela Faggioni Domenico G Della Rocca Sanghamitra Mohanty Chintan Trivedi Ugur Canpolat Carola Gianni Amin Al-Ahmad Rodney Horton Gerald Joseph Gallinghouse John David Burkhardt Andrea Natale Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure Cardiac Failure Review |
| title | Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure |
| title_full | Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure |
| title_fullStr | Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure |
| title_full_unstemmed | Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure |
| title_short | Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure |
| title_sort | long term outcome of pulmonary vein isolation versus amiodarone therapy in patients with coexistent persistent af and congestive heart failure |
| url | https://www.cfrjournal.com/articleindex/cfr.2019.03 |
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