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Updated: Jul 14, 2026
23:33
The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
Published on: February 28, 2012
[Atrial fibrillation -- interventional therapy with respect to age]
1Medizinische Klinik und Poliklinik II, Universitätsklinikum Bonn. th.lewalter@uni-bonn.de
Deutsche Medizinische Wochenschrift (1946)
|March 19, 2005
Summary
Therapy for atrial fibrillation (AF) includes rate or rhythm control. Invasive treatments like ablation are for severe cases, with hybrid therapy being suitable for all age groups, including the elderly.
Area of Science:
- Cardiology
- Electrophysiology
- Medical Interventions
Context:
- Atrial fibrillation (AF) management involves rate or rhythm control strategies.
- Medical treatment is the primary approach for stabilizing sinus rhythm post-cardioversion or for paroxysmal AF.
- Drug-refractory AF necessitates advanced interventions.
Purpose:
- To outline current and emerging therapeutic strategies for atrial fibrillation.
- To evaluate the efficacy and limitations of invasive AF treatments, particularly in elderly patients.
- To highlight the suitability of hybrid therapy across different age demographics.
Summary:
- First-line AF therapy focuses on medical management for rhythm stabilization.
- Invasive options include pacing, hybrid therapy, and catheter ablation (pulmonary vein, linear lesions).
- Interventional AF therapy is reserved for highly symptomatic patients due to efficacy and complication risks; hybrid therapy shows promise for elderly patients.
Impact:
- Provides a comprehensive overview of AF treatment modalities.
- Informs clinical decision-making regarding invasive procedures for AF.
- Suggests hybrid therapy as a viable option for diverse patient populations, including the elderly.
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