How to Improve Cardiac Resynchronization Therapy Benefit in Atrial Fibrillation Patients: Pulmonary Vein Isolation (and Beyond)

Carola Gianni; Luigi Di Biase; Sanghamitra Mohanty; Yalçın Gökoğlan; Mahmut Fatih Güneş; Amin Al-Ahmad; J. David Burkhardt; Andrea Natale

doi:10.1016/j.hfc.2016.07.016

How to Improve Cardiac Resynchronization Therapy Benefit in Atrial Fibrillation Patients: Pulmonary Vein Isolation (and Beyond)

Carola Gianni, Luigi Di Biase, Sanghamitra Mohanty, Yalçın Gökoğlan, Mahmut Fatih Güneş, Amin Al-Ahmad, J. David Burkhardt, Andrea Natale

Medicine

Research output: Contribution to journal › Review article › peer-review

2 Scopus citations

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	https://doi.org/10.1016/j.hfc.2016.07.016
State	Published - Jan 1 2017

Keywords

Atrial fibrillation
Cardiac resynchronization therapy
Catheter ablation
Heart failure
Pulmonary vein ablation
Triggers

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.hfc.2016.07.016

Cite this

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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.",

keywords = "Atrial fibrillation, Cardiac resynchronization therapy, Catheter ablation, Heart failure, Pulmonary vein ablation, Triggers",

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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

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KW - Cardiac resynchronization therapy

KW - Catheter ablation

KW - Heart failure

KW - Pulmonary vein ablation

KW - Triggers

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How to Improve Cardiac Resynchronization Therapy Benefit in Atrial Fibrillation Patients: Pulmonary Vein Isolation (and Beyond)

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

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