Why the study?
The study was conducted to review relevant literature on the use of atrioventricular node ablation and pacing in patients with heart failure and atrial fibrillation.
Does atrioventricular node ablation and pacing improve clinical outcomes in patients with heart failure and atrial fibrillation?
Population
Patients with heart failure and atrial fibrillation
Comparison
Atrioventricular node ablation and pacing modalities
Design
Literature review
Key result
Atrioventricular node ablation and pacing improves symptoms and cardiac performance in patients with heart failure and atrial fibrillation who are unresponsive or intolerant to medical treatment.
Authors
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Supports AV node ablation-pacing for refractory AF-HF symptoms; hypothesis-generating, needing RCTs for hard outcomes.
Does atrioventricular node ablation and pacing improve clinical outcomes in patients with heart failure and atrial fibrillation?
Atrioventricular node ablation combined with pacing (especially CRT or His bundle pacing) is an effective strategy for improving symptoms and cardiac performance in patients with AF and HF refractory to medical therapy.
Koniari et al. (2023) conducted a review in Heart failure and atrial fibrillation. Atrioventricular node ablation and pacing vs. Right ventricle apical pacing or medical treatment was evaluated on Clinical outcomes and complications. Atrioventricular node ablation and pacing improves symptoms and cardiac performance in patients with heart failure and atrial fibrillation who are unresponsive or intolerant to medical treatment.
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