Abstract
Although cardiac resynchronization therapy (CRT) is an important treatment of symptomatic heart failure patients in sinus rhythm with low left ventricular ejection fraction and ventricular dyssynchrony, its role is not well defined in patients with atrial fibrillation (AF). CRT is not as effective in patients with AF because of inadequate biventricular capture and loss of atrioventricular synchrony. Both can be addressed with catheter ablation of AF. It is still unclear if these therapies offer additive benefits in patients with ventricular dyssynchrony. This article discusses the role and techniques of catheter ablation of AF in patients with heart failure, and its application in CRT recipients.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 199-208 |
| Number of pages | 10 |
| Journal | Heart Failure Clinics |
| Volume | 13 |
| Issue number | 1 |
| DOIs | |
| State | Published - Jan 1 2017 |
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Keywords
- Atrial fibrillation
- Cardiac resynchronization therapy
- Catheter ablation
- Heart failure
- Pulmonary vein ablation
- Triggers
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
Cite this
How to Improve Cardiac Resynchronization Therapy Benefit in Atrial Fibrillation Patients : Pulmonary Vein Isolation (and Beyond). / Gianni, Carola; Di Biase, Luigi; Mohanty, Sanghamitra; Gökoğlan, Yalçın; Güneş, Mahmut Fatih; Al-Ahmad, Amin; Burkhardt, J. David; Natale, Andrea.
In: Heart Failure Clinics, Vol. 13, No. 1, 01.01.2017, p. 199-208.Research output: Contribution to journal › Review article
}
TY - JOUR
T1 - How to Improve Cardiac Resynchronization Therapy Benefit in Atrial Fibrillation Patients
T2 - Pulmonary Vein Isolation (and Beyond)
AU - Gianni, Carola
AU - Di Biase, Luigi
AU - Mohanty, Sanghamitra
AU - Gökoğlan, Yalçın
AU - Güneş, Mahmut Fatih
AU - Al-Ahmad, Amin
AU - Burkhardt, J. David
AU - Natale, Andrea
PY - 2017/1/1
Y1 - 2017/1/1
N2 - Although cardiac resynchronization therapy (CRT) is an important treatment of symptomatic heart failure patients in sinus rhythm with low left ventricular ejection fraction and ventricular dyssynchrony, its role is not well defined in patients with atrial fibrillation (AF). CRT is not as effective in patients with AF because of inadequate biventricular capture and loss of atrioventricular synchrony. Both can be addressed with catheter ablation of AF. It is still unclear if these therapies offer additive benefits in patients with ventricular dyssynchrony. This article discusses the role and techniques of catheter ablation of AF in patients with heart failure, and its application in CRT recipients.
AB - Although cardiac resynchronization therapy (CRT) is an important treatment of symptomatic heart failure patients in sinus rhythm with low left ventricular ejection fraction and ventricular dyssynchrony, its role is not well defined in patients with atrial fibrillation (AF). CRT is not as effective in patients with AF because of inadequate biventricular capture and loss of atrioventricular synchrony. Both can be addressed with catheter ablation of AF. It is still unclear if these therapies offer additive benefits in patients with ventricular dyssynchrony. This article discusses the role and techniques of catheter ablation of AF in patients with heart failure, and its application in CRT recipients.
KW - Atrial fibrillation
KW - Cardiac resynchronization therapy
KW - Catheter ablation
KW - Heart failure
KW - Pulmonary vein ablation
KW - Triggers
UR - http://www.scopus.com/inward/record.url?scp=84996835401&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84996835401&partnerID=8YFLogxK
U2 - 10.1016/j.hfc.2016.07.016
DO - 10.1016/j.hfc.2016.07.016
M3 - Review article
C2 - 27886924
AN - SCOPUS:84996835401
VL - 13
SP - 199
EP - 208
JO - Heart Failure Clinics
JF - Heart Failure Clinics
SN - 1551-7136
IS - 1
ER -