Prediction and Management of Recurrences after Catheter Ablation in Atrial Fibrillation and Heart Failure

Majd A. El-Harasis, Christopher V. DeSimone, Xiaoxi Yao, Peter Noseworthy

Research output: Contribution to journalReview article

1 Scopus citations

Abstract

Catheter ablation is recommended in patients with symptomatic atrial fibrillation (AF) refractory to pharmacologic therapy. AF recurrence is common postablation, particularly in patients with heart failure, because of multiple structural and functional changes that can occur. Determining predictors of AF recurrence has become increasingly important. These include increased left atrial volume, termination of AF during the index ablation, electrocardiogram parameters, and serum biomarkers. Cardiac MRI can also determine the degree of scarring and left atrial sphericity, which is used in risk prediction scores. In patients with recurrence, further treatment options include pharmacologic therapy and atrioventricular nodal ablation with pacing.

Original languageEnglish (US)
JournalCardiology clinics
DOIs
StatePublished - Jan 1 2019

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Keywords

  • Atrial fibrillation
  • Cardiac resynchronization therapy
  • Catheter ablation
  • Heart failure

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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