Role of atrioventricular nodal ablation and pacemaker therapy in elderly patients with recurrent atrial fibrillation

MacKram F. Eleid, Win Kuang Shen

Research output: Contribution to journalReview article

Abstract

Atrial fibrillation (AF) is an increasingly common condition in the aging population that can be difficult to treat with medical therapy. Tachycardia resulting from AF often results in symptoms, impaired quality of life and can lead to a tachycardia-mediated cardiomyopathy. When rhythm control and pharmacologic rate control are ineffective options, atrioventricular nodal ablation may provide a more practical approach that is both definitive and effective in controlling AF. This article reviews the rationale and current evidence for atrioventricular nodal ablation combined with pacemaker therapy in elderly patients with recurrent AF. The evidence and rationale for cardiac resynchronization therapy and future directions are also described.

Original languageEnglish (US)
Pages (from-to)713-720
Number of pages8
JournalInterventional Cardiology
Volume3
Issue number6
DOIs
StatePublished - Dec 1 2011

Keywords

  • atrial fibrillation
  • atrioventricular nodal ablation
  • elderly
  • pacemaker

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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