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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Autores principales: Faggioni, Michela, Della Rocca, Domenico G, Mohanty, Sanghamitra, Trivedi, Chintan, Canpolat, Ugur, Gianni, Carola, Al-Ahmad, Amin, Horton, Rodney, Gallinghouse, Gerald Joseph, Burkhardt, John David, Natale, Andrea
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Radcliffe Cardiology 2020
Materias:
Congestive Heart Failure
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199124/
https://www.ncbi.nlm.nih.gov/pubmed/32377383
http://dx.doi.org/10.15420/cfr.2019.03
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author Faggioni, Michela
Della Rocca, Domenico G
Mohanty, Sanghamitra
Trivedi, Chintan
Canpolat, Ugur
Gianni, Carola
Al-Ahmad, Amin
Horton, Rodney
Gallinghouse, Gerald Joseph
Burkhardt, John David
Natale, Andrea
author_facet Faggioni, Michela
Della Rocca, Domenico G
Mohanty, Sanghamitra
Trivedi, Chintan
Canpolat, Ugur
Gianni, Carola
Al-Ahmad, Amin
Horton, Rodney
Gallinghouse, Gerald Joseph
Burkhardt, John David
Natale, Andrea
author_sort Faggioni, Michela
collection PubMed
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.
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spelling pubmed-71991242020-05-06 Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure Faggioni, Michela Della Rocca, Domenico G Mohanty, Sanghamitra Trivedi, Chintan Canpolat, Ugur Gianni, Carola Al-Ahmad, Amin Horton, Rodney Gallinghouse, Gerald Joseph Burkhardt, John David Natale, Andrea Card Fail Rev 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 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. Radcliffe Cardiology 2020-04-09 /pmc/articles/PMC7199124/ /pubmed/32377383 http://dx.doi.org/10.15420/cfr.2019.03 Text en Copyright © 2020, Radcliffe Cardiology https://creativecommons.org/licenses/by-nc/4.0/legalcode This work is open access under the CC-BY-NC 4.0 License which allows users to copy, redistribute and make derivative works for non-commercial purposes, provided the original work is cited correctly.
spellingShingle Congestive Heart Failure
Faggioni, Michela
Della Rocca, Domenico G
Mohanty, Sanghamitra
Trivedi, Chintan
Canpolat, Ugur
Gianni, Carola
Al-Ahmad, Amin
Horton, Rodney
Gallinghouse, Gerald Joseph
Burkhardt, John David
Natale, Andrea
Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure
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
topic Congestive Heart Failure
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7199124/
https://www.ncbi.nlm.nih.gov/pubmed/32377383
http://dx.doi.org/10.15420/cfr.2019.03
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