Key result
Catheter ablation for atrial fibrillation in elderly patients achieved an overall success rate of 80%, demonstrating similar safety and efficacy compared to younger patients.
Why the study?
What are the safety and efficacy of ablation strategies for atrial fibrillation in the elderly?
What are the safety and efficacy of ablation strategies for atrial fibrillation in the elderly?
This review summarizes current evidence on the safety and efficacy of ablation strategies for atrial fibrillation in elderly patients.
Supports ablation in selected elderly AF patients; leaves open need for RCTs to guide broader adoption.
Management of atrial fibrillation in the elderly presents unique challenges, including deciding upon the best treatment strategy: rate control versus rhythm control. The decision to pursue one treatment strategy over another is based on understanding the underlying disorder: symptomatology from atrial fibrillation itself versus symptoms due to a rapid ventricular response from atrial fibrillation. The ablation strategies for the treatment of atrial fibrillation include atrioventricular junction ablation and pulmonary vein isolation. This review discusses the data on ablation of atrial fibrillation in the elderly, with an emphasis on issues regarding safety and efficacy in this population.
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Kapa et al. (2011) conducted a review in Atrial fibrillation. Catheter ablation (Pulmonary vein isolation or AV nodal ablation) vs. Younger patient cohorts or medical therapy was evaluated. Catheter ablation for atrial fibrillation in elderly patients achieved an overall success rate of 80%, demonstrating similar safety and efficacy compared to younger patients.
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