Device therapy for acute systolic heart failure and atrial fibrillation

Card Electrophysiol Clin. 2015 Sep;7(3):469-77. doi: 10.1016/j.ccep.2015.05.016. Epub 2015 Jun 26.

Abstract

Patients with newly diagnosed cardiomyopathy require careful assessment of cause and initiation of treatment before the decision is made to implant an internal cardiac defibrillator. In patients with medicine-refractory atrial fibrillation and cardiomyopathy, atrioventricular node ablation and implantation of a biventricular pacemaker is the therapy of choice when tachycardia-induced cardiomyopathy is suspected and curative therapy is not possible.

Keywords: Atrial fibrillation; Atrioventricular node ablation; Cardiac resynchronization therapy; Internal cardiac defibrillator; Pacemaker.

Publication types

  • Review

MeSH terms

  • Atrial Fibrillation / therapy*
  • Cardiac Resynchronization Therapy*
  • Catheter Ablation*
  • Defibrillators, Implantable*
  • Exercise Test
  • Heart Failure, Systolic / therapy*
  • Humans
  • Male
  • Middle Aged