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Short Communication
AV Nodal Ablation in Heart Failure Patients with Atrial Fibrillation
Author(s): Osmar Antonio Centurion, Karina Elizabeth Scavenius, Laura Beatriz Garcia, Orlando R Sequeira and Luis M MinoOsmar Antonio Centurion, Karina Elizabeth Scavenius, Laura Beatriz Garcia, Orlando R Sequeira and Luis M Mino
The optimal medical treatment can fail in the intention to improve symptoms and quality of life of heart failure (HF) patients with severe left ventricular dysfunction and atrial fibrillation (AF) with uncontrolled ventricular rate. In these refractory cases to medical management, the necessity to utilize cardiac resynchronization therapy (CRT), or the need to use catheter ablation, or both, emerges in order to achieve hemodynamic improvement. Several clinical studies with CRT demonstrated structural and functional ventricular improvement. Moreover, there are additional beneficial effects in left ventricular remodeling. It was demonstrated that there is a significant improvement in left ventricular ejection fraction, and a significant decrease in end systolic and end diastolic volumes. However, CRT may be interrupted in over 30% of patients after successful implantation of a device an.. Read More»
DOI:
10.4172/2329-9517.S2-003
Cardiovascular Diseases & Diagnosis received 427 citations as per Google Scholar report