Randomized Clinical Trials of Catheter Ablation of Atrial Fibrillation in Congestive Heart Failure Knowns and Unmet Needs

被引：2

作者：

Terricabras, Maria ^{[1
]}

Piccini, Jonathan P., Sr. ^{[2
]}

Verma, Atul ^{[1
]}

机构：

[1] Univ Toronto, Southlake Reg Hlth Ctr, Suite 602,581 Davis Dr, Newmarket, ON L3Y 2P6, Canada

[2] Duke Univ, Med Ctr, Duke Ctr Atrial Fibrillat, Duke Clin Res Inst, DUMC 3115, Durham, NC 27705 USA

来源：

CARDIOLOGY CLINICS | 2019年 / 37卷 / 02期

关键词：

Atrial fibrillation; Catheter ablation; Heart failure; Outcomes; Randomized clinical trial; VENTRICULAR SYSTOLIC DYSFUNCTION; RADIOFREQUENCY ABLATION; ANTIARRHYTHMIC-DRUGS; 1ST-LINE TREATMENT; MANAGEMENT; AMIODARONE; EFFICACY; FORCE;

D O I：

10.1016/j.ccl.2019.01.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Atrial fibrillation (AF) and heart failure (HF) are conditions that frequently coexist and are associated with worse outcomes compared with either condition alone. Although rhythm control with antiarrhythmic drug treatment is not superior to rate control in this population, catheter ablation has emerged as an alternative and more effective treatment of maintenance of sinus rhythm. Some trials have shown benefit in hospitalization and mortality, but additional studies are needed. The authors summarize the current evidence regarding catheter ablation outcomes, efficacy, and safety and discuss the unmet needs of the existing and ongoing randomized clinical trials.

引用

页码：167 / +

页数：11

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