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November 26, 2024European Heart JournalOpen Access

Accelerated pacing acutely reduces left-heart filling pressure in patients undergoing AF catheter ablation and in computer simulations with HFpEF features.

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Why the study?

Does accelerated atrial pacing reduce left-heart filling pressure in patients undergoing AF catheter ablation and in HFpEF computer simulations?

Population

Patients undergoing AF catheter ablation and computer simulations with HFpEF features

Comparison

Accelerated pacing vs baseline or AV sequential pacing

Design

Combined clinical-computational study

Authors

TLTim van LoonJRJesse RijksJKJohan van Koll

Discussion

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Overview

Hypothesis-generating for accelerated pacing in HFpEF; randomized trials needed before any practice change.

Structured PICO

Does accelerated atrial pacing reduce left-heart filling pressure in patients undergoing AF catheter ablation and in HFpEF computer simulations?

P
Population
Patients undergoing atrial fibrillation (AF) catheter ablation and computer simulations/virtual cohorts with HFpEF features
I
Intervention
Accelerated atrial pacing (and AV sequential pacing in simulations)
O
Outcome
Left-heart filling pressuresurrogate

Accelerated atrial pacing acutely reduces left-heart filling pressure, suggesting it may be a potential therapeutic strategy to alleviate congestion symptoms in HFpEF.

Cite This Study

Loon et al. (2024) studied this question.

synapsesocial.com/papers/69de7cf9fd84e72eb25585c4https://doi.org/10.1093/eurheartj/ehae718
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