Key result
Atrial fibrillation catheter ablation and peri-procedural fluid infusion in a 67-year-old woman resulted in reversible right ventricular dysfunction and manifestation of HFpEF symptoms.
Why the study?
Catheter ablation is important for AF management and AF is involved in HFpEF pathophysiology, but the relationship between AF and RV dysfunction has not been completely distinguished.
Case Report (n=1)
No
Fluid loading during and after AF ablation in patients with long-standing AF can result in transient RV decompensation and manifestation of HFpEF, highlighting the need for cautious fluid resuscitation.
May warrant cautious fluid management during AF ablation; single case leaves open whether volume loading precipitates transient RV dysfunction in HFpEF.
Catheter ablation is an important treatment modality for management of Atrial Fibrillation (AF). AF is a responsible factor in the pathophysiology of Heart Failure with Preserved Ejection Fraction (HFpEF). However, the relationship between AF and Right Ventricular (RV) dysfunction has not been completely distinguished.
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Elgar Enamzadeh (2023) conducted a case report in Atrial Fibrillation and Heart Failure with Preserved Ejection Fraction (n=1). Catheter ablation and peri-procedural fluid infusion was evaluated on Development of right ventricular failure and HFpEF symptoms. Atrial fibrillation catheter ablation and peri-procedural fluid infusion in a 67-year-old woman resulted in reversible right ventricular dysfunction and manifestation of HFpEF symptoms.
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