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Cardiomyopathy V: Interprofessional Care01:29

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Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
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Long-Term Outcomes after Convergent Procedure for Atrial Fibrillation.

Borut Geršak1, Veronika Podlogar2, Tine Prolič Kalinšek2

  • 1Faculty of Medicine, University of Ljubljana, 1000 Ljubljana, Slovenia.

Journal of Clinical Medicine
|September 28, 2024
PubMed
Summary
This summary is machine-generated.

The convergent procedure (CP) for atrial fibrillation (AF) shows a high long-term success rate for maintaining sinus rhythm (SR). However, many patients require repeat procedures to sustain SR over time.

Keywords:
atrial fibrillationcatheter ablationconvergent procedurehybrid ablationlong-standing persistent atrial fibrillationpersistent atrial fibrillation

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Area of Science:

  • Cardiology
  • Electrophysiology
  • Medical Devices

Background:

  • Atrial fibrillation (AF) is a common arrhythmia impacting cardiovascular health.
  • The convergent procedure (CP) is an interventional treatment for AF.
  • Long-term outcomes of CP require further evaluation.

Purpose of the Study:

  • To assess the long-term efficacy of the convergent procedure (CP) in treating atrial fibrillation (AF).
  • To evaluate the maintenance of sinus rhythm (SR) and AF burden after CP.
  • To identify factors associated with AF recurrence post-CP.

Main Methods:

  • Retrospective analysis of 119 patients undergoing CP for AF (paroxysmal, persistent, long-standing persistent).
  • Outcomes assessed at 1-year and long-term follow-up (mean 8.3 years).
  • Rhythm and AF burden evaluated using ECG, Holter monitoring, and implantable loop recorders.

Main Results:

  • At 1 year, 91.4% achieved SR and 76.1% had <1% AF burden.
  • Long-term follow-up showed 65.5% SR and 53.8% with <1% AF burden.
  • Age, BMI, and left atrial volume index predicted AF recurrence.

Conclusions:

  • CP offers a high long-term probability of maintaining sinus rhythm for AF patients.
  • A significant proportion of patients require additional radiofrequency ablation (RFA) procedures to maintain SR.
  • CP is a viable option for AF treatment, but long-term management may involve repeat interventions.