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(MedPage Today) -- The efficacy of catheter ablation for heartfailure (HF) patients with atrial fibrillation (Afib or AF) hinged on the phenotype of disease, researchers reported based on a meta-analysis. Compared with conventional rate or rhythm.
Background Atrial arrhythmias (AA) and heartfailure (HF) are major causes of hospitalisation in adult congenital heart disease (ACHD). Methods In this single-centre retrospective cohort study, data from 3995 patients with ACHD were analysed.
This systematic review and meta-analysis investigates the efficacy of catheter ablation compared with rate or rhythm control among patients with atrial fibrillation and heartfailure.
Radiofrequency ablation (RFA) is an important therapeutic modality for atrial fibrillation (AF), widely utilized in clinical practice due to its safety and significant efficacy. This case report describes a unique instance of a patient developing AEF following AF ablation, accompanied by ischemic stroke and myocardial infarction.
Patients who undergo catheter ablation for atrial fibrillation (AFib) who also have heartfailure with preserved ejection fraction (HFpEF) experienced a greater benefit from ablation in terms of clinical outcome, AFib recurrence and functional status, according to findings from the CABANA trial.
It can be associated with reduced quality of life and complications such as heartfailure and stroke. Atrial fibrillation is the most prevalent arrhythmia with a lifetime risk of nearly 30%. Pulmonary vein isolation (PVI) is the most effective treatment for rhythm control.
Outcomes of ablation with the FARAPULSE PFA System – a nonthermal treatment in which electric fields selectively ablateheart tissue – will be compared to outcomes following use of anti-arrhythmic drug (AAD) therapy, which is commonly prescribed for patients living with persistent AF. The company now anticipates U.S.
This randomized clinical trial investigates the feasibility, safety, and efficacy of endovascular right-sided splanchnic nerve ablation for volume management in heartfailure with preserved ejection fraction (HFpEF).
Biosense Webster Study Supports Low and Zero Fluoroscopy Workflow as Safe, Effective Alternative to Conventional Catheter Ablation 5. Henry Ford Health HeartFailure Patient First in Michigan to Receive Breakthrough Device 6. Machine Learning Informs a New Tool to Guide Treatment for Acute Decompensated HeartFailure 8.
Atrial fibrillation catheter ablation (AFCA) improved clinical outcomes compared with medical treatment alone, and early AFCA was associated with better outcomes than late AFCA, particularly decreased risk of heartfailure (HF) hospitalization and atrial fibrillation (AFib) recurrence.
Introduction A high recurrence rate of atrial fibrillation was monitored after catheter ablation for persistent atrial fibrillation. Patients will be randomized to (1) receive the standard treatment strategy plus sacubitril/valsartan titration, or (2) receive the standard treatment strategy without taking sacubitril/valsartan.
Introduction Catheter ablation is an effective and safe strategy for treating atrial fibrillation patients. Nevertheless, studies on the long-term outcomes of catheter ablation in patients with dilated cardiomyopathy are limited. Among the catheter ablation group, 58.7% ( n = 27) had persistent atrial fibrillation.
Predicting the anticipated benefit and selecting the optimal timing of catheter ablation of recurrent ventricular tachycardia (VT) in patients with severe heartfailure (HF) can be challenging.
American College of Cardiology (ACC) and American Heart Association (AHA) Issue New Hypertrophic Cardiomyopathy (HCM) Management Guidelines 2. New Study Published in JACC: HeartFailure Reveals that Despite Significant Efforts to Improve Acute HeartFailure Treatment Over the Past 20 Years, Management Remains Unchanged 3.
Heartfailure with preserved ejection fraction (HFpEF) is a widespread syndrome with limited therapeutic options and poorly understood immune pathophysiology. Notably, selective ablation of XBP1 in T cells enhanced their persistence in the heart and lymphoid organs of mice with preclinical HFpEF.
Catheter Ablation for Atrial Fibrillation (AFib) in heartfailure is now a class I indication for patients with heartfailure. Evidence supports the relationship between obesity and the incidence and recurrence of Afib.
Atrial fibrillation (AF) is a common arrhythmia in patients with heartfailure (HF). Catheter ablation of AF has been proven to be an effective therapeutic option for AF management in HF, particularly in heartfailure with reduced ejection fraction (HFrEF) [2, 3].
Atrial fibrillation (AF) is a common reversible cause of worsening left ventricular ejection fraction (LVEF) in patients with heartfailure. Guidelines propose a class 1 recommendation for AF catheter ablation (CA) in patients with heartfailure with reduced ejection fraction1,2.
Clinical outcomes among patients with atrial fibrillation (AF) and heartfailure with preserved ejection fraction (HFpEF) treated with catheter ablation (CA) versus antiarrhythmic therapy (AAT) are not well-known.
Catheter ablation (CA) for atrial fibrillation (AF) and heartfailure with reduced ejection fraction <40% (HFrEF) is associated with improved outcomes. The patient characteristics, AF effect on quality-of-life questionnaire (AFEQT), and ablation strategies performed remains uncertain in those with and without HFrEF.
Catheter ablation for ventricular tachycardia (VT) has been shown to decrease the risk of VT recurrence and hospitalization. However, a critical gap exists in national-level data assessing its impact on hospital outcomes in patients with acute heartfailure with reduced ejection fraction (HFrEF).
The efficacy of catheter ablation as a treatment approach for patients with concurrent atrial fibrillation (AF) and heartfailure with preserved ejection fraction (HFpEF) has been inadequately investigated.
Abstract A vast amount of now well-established clinical and epidemiological data indicates a close, interdependent, and symbiotic association between atrial fibrillation (AF) and heartfailure (HF). whether ablation is mandatory or pointless in patients who have HF).
Overview of the study population and effects observed after catheter ablation for atrial fibrillation. Herein we describe the effects of catheter ablation on AF burden, arrhythmia recurrences, and ventricular function in end-stage HF. to 39.18.3% ( p <0.001) following ablation. PVI, pulmonary vein isolation.
The impact of sodium-glucose cotransporter 2 inhibitors (SGLT2i) on atrial fibrillation (AF) recurrence outcomes and adverse cardiovascular outcomes in heartfailure (HF) patients after AF ablation is unknown.
Most clinical trials have suggested that strictly controlling resting heart rate (RHR) lower than 110 beats per minute (bpm) even less than 100 bpm is beneficial. However, the degree to which rate control prior to catheter ablation influence is unclear especially in AF patients with heartfailure (HF).
Previous studies have demonstrated significant morbidity and mortality in patients with heartfailure (HF) with reduced ejection fraction (HFrEF), particularly with accompanying atrial fibrillation (AF).
Studies have suggested that early atrial fibrillation (AF) ablation is associated with improved outcomes. However, it is unknown whether these patterns hold for persistent AF among patients with heartfailure with preserved ejection fraction (HFpEF). The majority of these studies evaluated paroxysmal AF cases.
Left atrial and pulmonary artery pressure (PAP) elevation can reflect severity and dynamic status of heartfailure (HF) in HF with preserved ejection fraction (pEF). Atrial fibrillation (AF) worsens HFpEF progression and pump failure, but catheter ablation can restore rhythm control in this population.
The benefit of catheter ablation in patients with atrial fibrillation (AF) for patients with heartfailure with preserved ejection fraction (HFpEF) remains uncertain.
Research covered topics such as outcomes for pediatric subcutaneous ICD implantation; procedural success rates and risk factors associated with catheter ablation for atrial tachyarrhythmias; comparing echocardiographic guidance during left atrial appendage occlusion (LAAO); and atrial fibrillation (AFib) ablation in patients with heartfailure with (..)
The PRO portion of the currently featured PRO/CON debate between Dr. Brian Olshansky and Dr. John Mandrola presents a significant conundrum within the fields of electrophysiology and geriatric cardiology.
The authors claim that their score identifies heartfailure (HF) patients who benefit the most from atrial fibrillation (AF) ablation. in favour of ablation in the “high-risk group” and 0.41 However, the crude hazard ratio (HR) for the primary endpoint was 0.32 in the “low-risk group”.
Splanchnic ablation for volume management (SAVM) in heartfailure with preserved ejection fraction (HFpEF) was discussed as a late-breaking trial at the HeartFailure Society of America (HFSA) Annual Scientific Meeting 2023 in Cleveland, Ohio.
Electrical storm (ES) is associated with a high mortality, leads to recurrent hospitalization due to heartfailure or ICD therapy deliveries. Ventricular tachycardia (VT) ablation has demonstrated efficacy in lowering VT recurrences but prompt ablation is challenging and the exact timing still unknown.
The impact of comorbidity burden on outcomes of radiofrequency catheter ablation (RFCA) for atrial fibrillation (AF) in patients with heartfailure and preserved ejection fraction (HFpEF) remains unclear.
The goals of the current scientific research on ventricular tachycardia (VT) ablation included studies to prove the benefit of early ablation on heartfailure progression and mortality and the need to better characterize and treat heterogeneous deep VT substrates.
Catheter ablation has become the most effective rhythm control strategy in treating atrial fibrillation (AF), preventing AF recurrence and delaying its progression to persistent AF better than antiarrhythmic drugs.
To fully understand the predictive value of the CASTLE-HTx risk-score in relation to the benefits of catheter ablation in patients with end-stage heartfailure (HF) and atrial fibrillation (AF), it is essential to distinguish between absolute and relative risk reduction. The observed hazard ratios (HR) favoring ablation of 0.32
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