Why the study?
When AF recurs despite durable PVI in a subgroup of patients with persistent AF, there is no scientifically proven ablation strategy to pursue.
Summarizes the Johns Hopkins Hospital institutional approach to managing persistent atrial fibrillation, particularly when it recurs despite durable pulmonary vein isolation.
Should not yet change practice; leaves open whether this expert-center approach improves outcomes after durable PVI in persistent AF.
Pulmonary vein isolation (PVI) is the only proven ablation strategy for paroxysmal and persistent atrial fibrillation (AF). However, when AF recurs despite durable PVI in a subgroup of patients with persistent AF, there is no scientifically proven ablation strategy to pursue. Here, we summarized how we approach persistent AF at Johns Hopkins Hospital.
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Keramati et al. (2019) studied this question.
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