Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure

Although pharmacological rhythm control of AF in patients with heart failure with reduced ejection fraction (HFrEF) does not seem to provide any benefit over rate control, catheter ablation of AF has been shown to improve clinical outcomes. These results can be explained with higher success rates of...

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Autores principales:	Michela Faggioni, Domenico G Della Rocca, Sanghamitra Mohanty, Chintan Trivedi, Ugur Canpolat, Carola Gianni, Amin Al-Ahmad, Rodney Horton, Gerald Joseph Gallinghouse, John David Burkhardt, Andrea Natale
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2020
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/73f3cc84ba8846c28d4ddc4c26936862
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spelling	oai:doaj.org-article:73f3cc84ba8846c28d4ddc4c269368622021-12-04T16:02:35ZLong-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure10.15420/cfr.2019.032057-75592057-7540https://doaj.org/article/73f3cc84ba8846c28d4ddc4c269368622020-04-01T00:00:00Zhttps://www.cfrjournal.com/articleindex/cfr.2019.03https://doaj.org/toc/2057-7540https://doaj.org/toc/2057-7559Although pharmacological rhythm control of AF in patients with heart failure with reduced ejection fraction (HFrEF) does not seem to provide any benefit over rate control, catheter ablation of AF has been shown to improve clinical outcomes. These results can be explained with higher success rates of catheter ablation in restoring and maintaining sinus rhythm compared with antiarrhythmic drugs. In addition, pharmacotherapy is not void of side-effects, which are thought to offset its potential antiarrhythmic benefits. Therefore, efforts should be made towards optimisation of ablation techniques for AF in patients with HFrEF.Michela FaggioniDomenico G Della RoccaSanghamitra MohantyChintan TrivediUgur CanpolatCarola GianniAmin Al-AhmadRodney HortonGerald Joseph GallinghouseJohn David BurkhardtAndrea NataleRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENCardiac Failure Review , Vol 6, Iss , Pp - (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Michela Faggioni Domenico G Della Rocca Sanghamitra Mohanty Chintan Trivedi Ugur Canpolat Carola Gianni Amin Al-Ahmad Rodney Horton Gerald Joseph Gallinghouse John David Burkhardt Andrea Natale Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure
description	Although pharmacological rhythm control of AF in patients with heart failure with reduced ejection fraction (HFrEF) does not seem to provide any benefit over rate control, catheter ablation of AF has been shown to improve clinical outcomes. These results can be explained with higher success rates of catheter ablation in restoring and maintaining sinus rhythm compared with antiarrhythmic drugs. In addition, pharmacotherapy is not void of side-effects, which are thought to offset its potential antiarrhythmic benefits. Therefore, efforts should be made towards optimisation of ablation techniques for AF in patients with HFrEF.
format	article
author	Michela Faggioni Domenico G Della Rocca Sanghamitra Mohanty Chintan Trivedi Ugur Canpolat Carola Gianni Amin Al-Ahmad Rodney Horton Gerald Joseph Gallinghouse John David Burkhardt Andrea Natale
author_facet	Michela Faggioni Domenico G Della Rocca Sanghamitra Mohanty Chintan Trivedi Ugur Canpolat Carola Gianni Amin Al-Ahmad Rodney Horton Gerald Joseph Gallinghouse John David Burkhardt Andrea Natale
author_sort	Michela Faggioni
title	Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure
title_short	Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure
title_full	Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure
title_fullStr	Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure
title_full_unstemmed	Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure
title_sort	long-term outcome of pulmonary vein isolation versus amiodarone therapy in patients with coexistent persistent af and congestive heart failure
publisher	Radcliffe Medical Media
publishDate	2020
url	https://doaj.org/article/73f3cc84ba8846c28d4ddc4c26936862
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Long-term Outcome of Pulmonary Vein Isolation Versus Amiodarone Therapy in Patients with Coexistent Persistent AF and Congestive Heart Failure

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