Cardiac resynchronization therapy and atrial fibrillation

被引：0

作者：

Kamath, Ganesh S.

Steinberg, Jonathan S.

机构：

[1] Columbia Univ, St Lukes Roosevelt Hosp, Coll Phys & Surg, Div Cardiol, New York, NY USA

[2] Al Sabah Arrhythmia Inst, New York, NY USA

来源：

CARDIOLOGY JOURNAL | 2009年 / 16卷 / 01期

关键词：

atrial fibrillation; cardiac resynchronization therapy; CONGESTIVE-HEART-FAILURE; ATRIOVENTRICULAR JUNCTION ABLATION; VENTRICULAR SYSTOLIC DYSFUNCTION; PULMONARY VEIN ISOLATION; SINUS RHYTHM; CATHETER ABLATION; PERMANENT; MORTALITY; STIMULATION; PROGRESSION;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Cardiac resynchronization therapy (CRT) is an important advance for the treatment of end-stage heart failure (HF). About 15-50% of HF is complicated by atrial fibrillation (AF), associated with worsened outcomes. The presence of AF may interfere with optimal delivery of CRT due to competition with biventricular (BiV) capture by conducted beats. Pacing algorithms in newer devices may not ensure consistent CRT delivery during periods of rapid ventricular rates. Atrioventricular junction ablation with permanent pacing eliminates interference by conducted beats and provides complete BIV capture and is associated with improved outcomes. Catheter ablation of AF is another promising alternative to maintain sinus rhythm in patients with AF and HE However, the optimal indications for CRT delivery for patients in this complex cohort remain to be assessed in randomized clinical trials. (Cardiol J 2009; 16: 4-10)

引用

页码：4 / 10

页数：7

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