Key result
PVI appears to reduce tachybrady syndrome and sinus pauses in patients with SND and AF.
Why the study?
Does pulmonary vein isolation or pacing improve symptoms or reduce AF risk in patients with sinus node dysfunction and atrial fibrillation?
Population
Patients with both sinus node dysfunction (SND) and atrial fibrillation (AF)
Design
Review
Authors
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May alleviate SND symptoms in AF without pacing; leaves open need for RCTs versus standard strategies.
Does pulmonary vein isolation or pacing improve symptoms or reduce AF risk in patients with sinus node dysfunction and atrial fibrillation?
Pulmonary vein isolation may improve symptoms of sinus node dysfunction in patients with concurrent atrial fibrillation, whereas pacing strategies have not been shown to reduce AF risk.
Jackson et al. (2017) conducted a review in Sinus node dysfunction and atrial fibrillation. Pacing and pulmonary vein isolation was evaluated. Pulmonary vein isolation appears to decrease episodes of tachybrady syndrome and sinus pauses in patients with concurrent sinus node dysfunction and atrial fibrillation.
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