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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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Catheter Ablation for Atrial Fibrillation in Structural Heart Disease: A Review

Francesco Maria Angelo Brasca1, Roberto Menè1,2, Giovanni Battista Perego1

  • 1Department of Cardiovascular Neural and Metabolic Sciences, San Luca Hospital, IRCCS Istituto Auxologico Italiano, 20149 Milan, Italy.

Journal of Clinical Medicine
|February 25, 2023
PubMed

Insights

Atrial fibrillation (AF) is a common arrhythmia, especially in patients with structural heart disease (SHD). Catheter ablation (CA) for AF may offer benefits beyond symptom relief in these patients.

Area of Science:

  • Cardiology
  • Electrophysiology

Background:

  • Atrial fibrillation (AF) is the most common cardiac arrhythmia.
  • Patients with structural heart disease (SHD) have a higher risk of AF and adverse hemodynamic consequences.
  • Catheter ablation (CA) is a standard treatment for symptomatic AF.

Purpose of the Study:

  • To review the current understanding of catheter ablation (CA) for atrial fibrillation (AF) in patients with structural heart disease (SHD).
  • To explore potential benefits of CA beyond symptom management in this population.

Main Methods:

  • Literature review of studies investigating catheter ablation for AF in patients with structural heart disease.
  • Synthesis of evidence on the impact of CA on hemodynamic effects and clinical outcomes in SHD patients with AF.

Main Results:

  • Catheter ablation is an established therapy for symptomatic relief in AF patients.
  • Emerging evidence suggests CA may confer benefits beyond symptom control in patients with SHD.
  • Further research is ongoing to fully elucidate these extended benefits.

Conclusions:

  • Catheter ablation is a key therapeutic option for AF, particularly in patients with SHD.
  • The role of CA in managing SHD patients with AF is expanding beyond symptom relief.
  • This review consolidates current knowledge on CA's impact on SHD patients with AF.

Keywords:
atrial fibrillationcatheter ablationstructural heart disease

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