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Atrial fibrillation ablation in heart failure: What do we know? What can we do?
Andrea Chiocchini1, Maria Terricabras1, Atul Verma1
1Southlake Regional Health Centre, University of Toronto, 602-581 Davis Drive, Newmarket, ON L3Y 2P6, Canada.
Abstract:
Atrial fibrillation (AF) and heart failure with reduced ejection fraction (HFrEF) are two conditions that frequently impact reciprocally on each other. Patients with HFrEF have an increased risk of stroke, hospitalization and mortality after they develop AF and vice versa, AF causing deterioration of the ejection fraction is also associated to increased mortality. Catheter ablation has emerged as an effective alternative to antiarrhythmic drug treatment to maintain sinus rhythm and some randomized trials have shown a potential benefit in terms of mortality and hospitalization. This review discusses the available evidence regarding catheter ablation treatment in this specific patient group.
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