Heart failure and catheter ablation of atrial fibrillation: Navigating the difficult waters of heart failure phenotypes

医学 心房颤动 观察研究 心力衰竭 导管消融 随机对照试验 心脏病学 射血分数 射血分数保留的心力衰竭 内科学 重症监护医学 临床试验
作者
Luigi Tavazzi,Aldo P. Maggioni,Claudio Rapezzi,Roberto Ferrari
出处
期刊:European Journal of Internal Medicine [Elsevier]
卷期号:99: 13-18 被引量:3
标识
DOI:10.1016/j.ejim.2022.02.021
摘要

The use of catheter ablation of atrial fibrillation (AFA) is increasing and it has now been extended to include higher risk patients with heart failure (HF), based on evidence from observational studies and meta-analyses of randomized controlled trials (RCTs) indicating it as safe and beneficial in terms of quality of life, AF recurrence and hospital readmissions in the short-to-middle term. However, the RCTs so far have been relatively small with short follow-up, and few larger trials with long follow-up inconclusive about hard outcomes for large patient crossover undermining the robustness of the results. Importantly, most RCTs involved HF patients with reduced left ventricular ejection fraction (HFrEF). In contrast, most observational studies show that the majority of ablated HF patients in clinical practice have a preserved ejection fraction (HFpEF), a condition representing roughly half of all HF patients. This article provides an overview of the available scientific evidence in this clinical field and examines the current guideline recommendations. In the absence of robust evidence-based research, the recommendations on AFA in HF may be inconsistent or abstain from taking firm positions, particularly regarding AFA in HFpEF. There is need for clinical research in such a surprisingly orphan setting, in parallel with the current attempts to sort out the knotty question of the HF phenotypes, in particular, again, of the HFpEF phenotypes.
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
大幅提高文件上传限制,最高150M (2024-4-1)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
wang完成签到,获得积分10
1秒前
1秒前
山丘完成签到,获得积分10
1秒前
盛夏完成签到,获得积分10
1秒前
David发布了新的文献求助10
3秒前
樱桃猴子完成签到,获得积分10
3秒前
追寻完成签到,获得积分20
4秒前
小太阳完成签到,获得积分10
6秒前
7秒前
传奇3应助优美的背包采纳,获得10
7秒前
7秒前
小城完成签到 ,获得积分10
9秒前
wisdom应助毛头侠采纳,获得10
9秒前
王宗陵完成签到,获得积分10
9秒前
晶晶完成签到,获得积分10
10秒前
qaplay完成签到 ,获得积分0
11秒前
甜蜜的马里奥完成签到,获得积分10
11秒前
笑哦发布了新的文献求助10
12秒前
12秒前
菜菜发布了新的文献求助10
13秒前
14秒前
阿鑫发布了新的文献求助10
14秒前
xiaowu完成签到,获得积分10
15秒前
年华发布了新的文献求助10
15秒前
zwx完成签到,获得积分10
16秒前
风中的善愁完成签到,获得积分10
16秒前
H_C发布了新的文献求助10
17秒前
如意安青完成签到,获得积分10
18秒前
魏笑白完成签到 ,获得积分10
18秒前
小叶子完成签到,获得积分10
18秒前
19秒前
21秒前
七哒蹦应助科研通管家采纳,获得10
21秒前
陈军应助科研通管家采纳,获得20
21秒前
kier应助科研通管家采纳,获得10
21秒前
汉堡包应助科研通管家采纳,获得10
21秒前
领导范儿应助科研通管家采纳,获得10
21秒前
21秒前
共享精神应助科研通管家采纳,获得10
21秒前
Yuxiao应助科研通管家采纳,获得10
21秒前
高分求助中
The ACS Guide to Scholarly Communication 2500
Sustainability in Tides Chemistry 2000
Studien zur Ideengeschichte der Gesetzgebung 1000
TM 5-855-1(Fundamentals of protective design for conventional weapons) 1000
Threaded Harmony: A Sustainable Approach to Fashion 810
Pharmacogenomics: Applications to Patient Care, Third Edition 800
A Dissection Guide & Atlas to the Rabbit 500
热门求助领域 (近24小时)
化学 医学 生物 材料科学 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 基因 遗传学 催化作用 物理化学 免疫学 量子力学 细胞生物学
热门帖子
关注 科研通微信公众号,转发送积分 3081823
求助须知:如何正确求助?哪些是违规求助? 2734862
关于积分的说明 7534680
捐赠科研通 2384387
什么是DOI,文献DOI怎么找? 1264312
科研通“疑难数据库(出版商)”最低求助积分说明 612614
版权声明 597600