Management of Atrial Fibrillation in Patients with Heart Failure: Time to Implement Ablation Control

Current Cardiology Reports
Alex Baher, Nassir F Marrouche

Abstract

Atrial fibrillation (AF) in patients with heart failure and reduced systolic ejection fraction (HFrEF) is common and associated with increased morbidity and mortality, and managing AF in this population has been particularly challenging with sparse data regarding the optimal treatment strategy. Recent data suggests that rhythm control with catheter ablation can be of particular benefit to patients with coexisting AF and HFrEF. Recent randomized control trials actually suggest that catheter ablation could potentially improve mortality in this particular patient population. This is in stark contrast to the current practice recommendations that reserve catheter ablation for symptomatic AF in the general population. In this paper, we will review the most current randomized controlled studies using catheter ablation in HFrEF patients with the hope to increase awareness of the potential mortality benefits the need for prioritization of catheter ablation in HFrEF patients in the next AF management guidelines.

References

May 7, 1992·The New England Journal of Medicine·E L Pritchett
Apr 30, 2002·American Journal of Epidemiology·Wendy A WattigneyJanet B Croft
Dec 6, 2002·The New England Journal of Medicine·D G WyseUNKNOWN Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) Investigators
Dec 6, 2002·The New England Journal of Medicine·Isabelle C Van GelderUNKNOWN Rate Control versus Electrical Cardioversion for Persistent Atrial Fibrillation Study Group
Jun 21, 2008·The New England Journal of Medicine·Denis RoyUNKNOWN Atrial Fibrillation and Congestive Heart Failure Investigators
Jun 21, 2008·The New England Journal of Medicine·Lars KøberUNKNOWN Dronedarone Study Group
Oct 24, 2008·The New England Journal of Medicine·Mohammed N KhanUNKNOWN PABA-CHF Investigators
Jun 26, 2009·European Journal of Heart Failure·Mamas A MamasLudwig Neyses
May 5, 2011·Circulation. Cardiovascular Quality and Outcomes·Michael H KimKathy L Schulman
Dec 19, 2013·Circulation·Sumeet S ChughChristopher J L Murray
Jan 3, 2014·Circulation. Arrhythmia and Electrophysiology·Ross J HunterRichard J Schilling
Mar 31, 2015·The Cochrane Database of Systematic Reviews·Carmelo Lafuente-LafuenteJoël Belmin
Sep 1, 2017·Journal of the American College of Cardiology·Sandeep PrabhuPeter M Kistler
Oct 11, 2017·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·Hugh CalkinsUNKNOWN Document Reviewers:
Feb 1, 2018·The New England Journal of Medicine·Nassir F MarroucheUNKNOWN CASTLE-AF Investigators
Mar 20, 2018·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Chen ChenWei Mao
Apr 10, 2018·Journal of Cardiovascular Electrophysiology·Nav MalhiMarc W Deyell
Jul 14, 2018·International Journal of Cardiology·Babikir KheiriDeepak L Bhatt
Aug 2, 2018·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·David F BriceñoPasquale Santangeli

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