Key result
Management of post-ablation arrhythmias often requires pharmacological therapy, cardioversion, or a combination of the two, although many patients will not need further ablation.
Why the study?
How should arrhythmias occurring after atrial fibrillation ablation be managed?
How should arrhythmias occurring after atrial fibrillation ablation be managed?
This review highlights the importance of recognizing and appropriately managing post-AF ablation arrhythmias using pharmacological therapy and cardioversion, often avoiding the need for repeat ablation.
Answers are grounded in this paper and cite their sources.
Clinicians should recognize post-ablation arrhythmias in AF patients; review extends descriptive guidance but leaves optimal strategies open.
Catheter ablation for atrial fibrillation is being increasingly performed worldwide and, with the development of new technologies, the procedure has become safer and more effective after a single attempt. Post-ablation arrhythmia remains common, however, and can be challenging to manage. This review describes the types of arrhythmias seen, when they occur, and how they may be managed. It is particularly important that all health-care professionals are aware of this problem, its identification, and its management as patients will often present to a different hospital from the one at which the ablation was performed. Although many patients will not need further ablation, it is likely that they will need treatment with pharmacological therapy, cardioversion, or a combination of the two.
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Griffiths et al. (2013) conducted a review in Post-ablation arrhythmia. Management of post-ablation arrhythmias was evaluated. Management of post-ablation arrhythmias often requires pharmacological therapy, cardioversion, or a combination of the two, although many patients will not need further ablation.
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