Heart failure (and not only heart failure) and atrial fibrillation: an opening gap between evidence and practice

Q: What is the clinical evidence from this study?

Study design: Review. Population: Atrial fibrillation and heart failure. Intervention: Catheter ablation vs. Antiarrhythmic drugs or AV junction ablation with pacing.

Q: What does this research mean for the field?

Catheter ablation of atrial fibrillation is more effective than antiarrhythmic drugs and AV node ablation in restoring sinus rhythm, improving left ventricular function, and reversing atrial remodeling. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

Martin Fiala

doi:10.33678/cor.2009.143

September 1, 2009Cor et VasaOpen Access

Heart failure (and not only heart failure) and atrial fibrillation: an opening gap between evidence and practice

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Structured PICO

P

Population

Patients with atrial fibrillation and heart failure

I

Intervention

Antiarrhythmics, AV junction ablation and pacing, selective ablation

This review discusses the gap between evidence and practice in managing atrial fibrillation and heart failure using various rhythm control strategies.

Implication

Supports ablation preference in AF-HF; leaves open evidence-practice gap without new RCTs.

Abstract

Fibrilace sĂnĂ (FS) se stala velkĂ˝m medicĂnskĂ˝m a socio-ekonomickĂ˝m problĂŠmem. ObnovenĂ a udrĹženĂ sinusovĂŠho rytmu je sice spojeno s vyĹĄĹĄĂ kvalitou Ĺživota a delĹĄĂm pĹeĹžĂvĂĄnĂm, ale dosaĹženĂ tohoto cĂle je v praxi obtĂĹžnĂŠ. ÄlĂĄnek se zabĂ˝vĂĄ hodnocenĂm role antiarytmik, ablace AV junkce a kardiostimulace, selektivnĂ ablace a takĂŠ jejich pĹĂmĂ˝m srovnĂĄnĂm v lĂŠÄbÄ FS a srdeÄnĂho selhĂĄnĂ. ZabĂ˝vĂĄ se takĂŠ problematikou elektrickĂŠ, mechanickĂŠ a strukturĂĄlnĂ remodelace a pĹĂpadnĂŠ reverznĂ remodelace myokardu a potenciĂĄlem jednotlivĂ˝ch metod tyto dÄje ovlivnit. DĂĄle se v ÄlĂĄnku hodnotĂ vĂ˝skyt tromboembolickĂ˝ch komplikacĂ po selektivnĂ ablaci ve srovnĂĄnĂ s rutinnĂ antikoagulaÄnĂ lĂŠÄbou.

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Cite This Study

Martin Fiala (2009) conducted a review in Atrial fibrillation and heart failure. Catheter ablation vs. Antiarrhythmic drugs or AV junction ablation with pacing was evaluated.

synapsesocial.com/papers/6a1c438b1567d2fc4d5fd85c https://doi.org/10.33678/cor.2009.143