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July 16, 2010Heart

Atrial tachyarrhythmias and cardiac resynchronisation therapy: clinical and therapeutic implications

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Key result

Cardiac resynchronisation therapy in patients with heart failure and atrial fibrillation appears effective, reducing AF burden and promoting left atrial reverse remodelling.

Why the study?

Does cardiac resynchronisation therapy reduce atrial fibrillation burden in patients with heart failure and atrial fibrillation?

Population

Patients with heart failure and atrial fibrillation

Design

Review

Authors

CLCarlo LavalleRRRenato Pietro RicciMSM. Santini

Discussion

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Overview

May support CRT in HF-AF; leaves open need for dedicated RCTs before practice change.

Structured PICO

Does cardiac resynchronisation therapy reduce atrial fibrillation burden in patients with heart failure and atrial fibrillation?

P
Population
Patients with heart failure and atrial fibrillation
I
Intervention
Cardiac resynchronisation therapy (CRT)
O
Outcome
Atrial fibrillation burden and left atrial reverse remodelling

This review highlights that CRT is effective in patients with HF and AF, reducing AF burden and promoting left atrial reverse remodelling.

Limitations

  • No definite data are available on AF ablation in patients with CRT

Cite This Study

Lavalle et al. (2010) conducted a review in Heart failure and atrial fibrillation. Cardiac resynchronisation therapy (CRT) was evaluated. Cardiac resynchronisation therapy in patients with heart failure and atrial fibrillation appears effective, reducing AF burden and promoting left atrial reverse remodelling.

synapsesocial.com/papers/6a153856d64fa333899f6356https://doi.org/10.1136/hrt.2009.184523
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Cardiac resynchronization therapy in heart failure patients with atrial fibrillation2013
  2. 2Atrial fibrillation in cardiac resynchronization therapy2021 · 25 citations
  3. 3Cardiac Resynchronization Therapy in Patients with Atrial Fibrillation - Worth the Effort?2012 · 4 citations
  4. 4The Influence of Atrial Fibrillation on Cardiac Resynchronization Therapy2014 · 3 citations
  5. 5Cardiac Resynchronization Therapy and Atrial Fibrillation.2011