Rhythm control in heart failure patients with atrial fibrillation: contemporary challenges including the role of ablation

J Am Coll Cardiol. 2014 Aug 19;64(7):710-21. doi: 10.1016/j.jacc.2014.06.1169.

Abstract

Because nonpharmacological interventions likely alter the risks and benefits associated with rhythm control, this paper reviews the role of current rhythm control strategies in atrial fibrillation. This report also focuses on the specific limitations of pharmacological interventions and the utility of percutaneous ablation in this growing population of patients with concomitant atrial fibrillation and heart failure.

Keywords: antiarrhythmic drug therapy; atrial fibrillation; catheter ablation; heart failure; rhythm control.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Anti-Arrhythmia Agents / therapeutic use*
  • Atrial Fibrillation* / complications
  • Atrial Fibrillation* / physiopathology
  • Atrial Fibrillation* / therapy
  • Catheter Ablation / methods*
  • Electrocardiography / methods*
  • Heart Failure* / complications
  • Heart Failure* / physiopathology
  • Heart Failure* / therapy
  • Heart Rate / physiology*
  • Humans
  • Treatment Outcome

Substances

  • Anti-Arrhythmia Agents