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Atrial Fibrillation Ablation in Heart Failure Patients

Atrial Fibrillation (AF) and Heart Failure (HF) are closely linked to each other, as each can be either the cause of or the result of the other. Successfully treating one of the two entities means laying the basis for treating the other one as well. Management of patients with AF and HF can be chall...

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Autores principales: Derndorfer, Michael, Chen, Shaojie, Pürerfellner, Helmut
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8397215/
https://www.ncbi.nlm.nih.gov/pubmed/34441807
http://dx.doi.org/10.3390/jcm10163512
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author Derndorfer, Michael
Chen, Shaojie
Pürerfellner, Helmut
author_facet Derndorfer, Michael
Chen, Shaojie
Pürerfellner, Helmut
author_sort Derndorfer, Michael
collection PubMed
description Atrial Fibrillation (AF) and Heart Failure (HF) are closely linked to each other, as each can be either the cause of or the result of the other. Successfully treating one of the two entities means laying the basis for treating the other one as well. Management of patients with AF and HF can be challenging and should primarily adhere to available guidelines. Concerning AF, medication is limited and causes many side effects, leading to low medical adherence. Several smaller studies, summarized in a big meta-analysis, provide evidence that ablation of AF in HF patients is crucial for improving quality of life, reducing HF hospitalizations, and reducing death, provided the LVEF is at least 25% or higher. In advanced HF, alternative treatment options (including assist devices, heart transplant) might still be the better option. Early rhythm control should be taken into consideration, as there is evidence that it is associated with better cardiovascular outcome.
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spelling pubmed-83972152021-08-28 Atrial Fibrillation Ablation in Heart Failure Patients Derndorfer, Michael Chen, Shaojie Pürerfellner, Helmut J Clin Med Review Atrial Fibrillation (AF) and Heart Failure (HF) are closely linked to each other, as each can be either the cause of or the result of the other. Successfully treating one of the two entities means laying the basis for treating the other one as well. Management of patients with AF and HF can be challenging and should primarily adhere to available guidelines. Concerning AF, medication is limited and causes many side effects, leading to low medical adherence. Several smaller studies, summarized in a big meta-analysis, provide evidence that ablation of AF in HF patients is crucial for improving quality of life, reducing HF hospitalizations, and reducing death, provided the LVEF is at least 25% or higher. In advanced HF, alternative treatment options (including assist devices, heart transplant) might still be the better option. Early rhythm control should be taken into consideration, as there is evidence that it is associated with better cardiovascular outcome. MDPI 2021-08-10 /pmc/articles/PMC8397215/ /pubmed/34441807 http://dx.doi.org/10.3390/jcm10163512 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Derndorfer, Michael
Chen, Shaojie
Pürerfellner, Helmut
Atrial Fibrillation Ablation in Heart Failure Patients
title Atrial Fibrillation Ablation in Heart Failure Patients
title_full Atrial Fibrillation Ablation in Heart Failure Patients
title_fullStr Atrial Fibrillation Ablation in Heart Failure Patients
title_full_unstemmed Atrial Fibrillation Ablation in Heart Failure Patients
title_short Atrial Fibrillation Ablation in Heart Failure Patients
title_sort atrial fibrillation ablation in heart failure patients
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8397215/
https://www.ncbi.nlm.nih.gov/pubmed/34441807
http://dx.doi.org/10.3390/jcm10163512
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