AI Article Synopsis
- - Atrial fibrillation (AF) and heart failure (HF) can lead to serious health issues, especially when patients experience rapid ventricular rates (RVR), requiring effective treatment strategies.
- - Atrioventricular junction (AVJ) ablation combined with pacemaker implantation is a method used to control heart rates in patients with persistent AF and RVR, but traditional pacing methods, like right ventricular only pacing, can worsen HF.
- - The review discusses the advantages and disadvantages of two advanced pacing strategies—His bundle pacing (HBP) and biventricular (BiV) pacing—as more effective options for heart failure patients following AVJ ablation.
Article Abstract
Atrial fibrillation (AF) and heart failure (HF) are associated with high morbidity and mortality, which is particularly detrimental when patients develop rapid ventricular rates (RVR). Atrioventricular junction (AVJ) ablation with pacemaker implantation has been used as a method of achieving rate control in patients with incessant AF with RVR. Right ventricular only pacing is known to be harmful in the setting of HF. His bundle pacing (HBP) and biventricular (BiV) pacing both offer durable pacing solutions that offer more physiologic activation. This review describes the benefits and drawbacks of HBP and BiV pacing in HF patients after AVJ ablation.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6442941 | PMC |
| http://dx.doi.org/10.1016/j.ccl.2019.01.006 | DOI Listing |
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