In what clinical context would you consider offering first time catheter ablation for symptomatic atrial fibrillation in patients with advanced heart failure, as opposed to a trial of antiarrhythmics and/or cardioversion?
Community PollStarted
How would you approach the management of patients with advanced heart failure and symptomatic atrial fibrillation?
58 physicians have voted
Join Mednetto vote and see how they answered.
2 Answers
Mednet MemberInvited Expert
Cardiology · Optum Medical Care, NY
Answered on
I would favor first-time catheter ablation in patients with advanced heart failure as a way to improve LVEF%, symptoms, reduce risk for recurrent hospitalizations, and decrease mortality. Many patients with advanced heart failure have an enlarged LAVI, so DCCV will only be a temporary solution and a...
Join for free or sign in to see the full answer
Mednet MemberInvited Expert
Cardiology · George Washington Medical Faculty Associates
Answered on
This is strongly supported by the CASTLE-AF trial.
Join for free or sign in to see the full answer