Catheter Ablation as First-Line Therapy for Atrial Fibrillation: Ready for Prime-Time?

被引：5
|
作者：
Carrizo, Aldo G. [1 ]
Morillo, Carlos A. [2 ,3 ]
机构：
[1] McMaster Univ, Hamilton Hlth Sci, Arrhythmia & Pacing Serv, 237 Barton St East David Braley CVSRI,Room 3C-120, Hamilton, ON L8L 2X2, Canada
[2] McMaster Univ, Arrhythmia Pacing Serv, Hamilton Hlth Sci, Dept Med, Hamilton, ON L8L 2X2, Canada
[3] David Braley CVSRI, Populat Hlth Res Inst, Room 3C-120, Hamilton, ON L8L 2X2, Canada
来源：
CURRENT CARDIOLOGY REPORTS | 2016年 / 18卷 / 08期
关键词：
Atrial fibrillation; Catheter ablation; Paroxysmal; Atrial remodeling; RADIOFREQUENCY ABLATION; ANTIARRHYTHMIC-DRUGS; WORLDWIDE SURVEY; COMPLICATIONS; PROGRESSION; MANAGEMENT; 1ST; ASSOCIATION; PREVALENCE; DIAGNOSIS;
D O I：
10.1007/s11886-016-0747-4
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Current guidelines include atrial fibrillation (AF) catheter ablation as part of the management strategy in patients that have failed at least one oral antiarrhythmic drug treatment course. However, growing evidence derived from both randomized and non-randomized studies demonstrate lower rates of AF recurrence and AF burden in patients with paroxysmal AF that are naive to antiarrhythmic drug treatment. Furthermore, progression from paroxysmal AF to persistent AF appears to be delayed by early catheter ablation of AF. The current review addresses the question of the best timing for ablation in patients with paroxysmal AF and provides the rationale for offering AF ablation as first-line therapy based on the most updated evidence available.
引用
收藏
页数：7
相关论文
共 50 条
  • [1] Catheter Ablation as First-Line Therapy for Atrial Fibrillation: Ready for Prime-Time?
    Aldo G. Carrizo
    Carlos A. Morillo
    Current Cardiology Reports, 2016, 18
  • [2] Is catheter ablation of atrial fibrillation as first-line treatment ready for prime time?
    Blaauw, Yuri
    Mulder, Bart
    Rienstra, Michiel
    HEART, 2021, 107 (20) : 1605 - 1606
  • [3] Catheter ablation should not be first-line therapy for atrial fibrillation
    Calkins, Hugh
    NATURE CLINICAL PRACTICE CARDIOVASCULAR MEDICINE, 2007, 4 (01): : 4 - 5
  • [4] Catheter ablation should not be first-line therapy for atrial fibrillation
    Hugh Calkins
    Nature Clinical Practice Cardiovascular Medicine, 2007, 4 : 4 - 5
  • [5] Catheter ablation for atrial fibrillation: Should it be first-line therapy?
    Wharton, J. Marcus
    AMERICAN HEART JOURNAL, 2007, 153 (04) : 74 - 80
  • [6] Has the Time Come to Recommend Catheter Ablation of Atrial Fibrillation as First-Line Therapy?
    Calkins, Hugh
    JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2014, 311 (07): : 679 - 680
  • [7] Should Catheter Ablation of Atrial Fibrillation Be a First-Line Therapy in the Young?
    Edwards, David N.
    Calkins, Hugh
    CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 2010, 3 (05): : 425 - 427
  • [8] Catheter ablation for persistent atrial fibrillation: Are we ready for "Prime Time"?
    Tse, HF
    Lau, CP
    JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2005, 16 (11) : 1148 - 1149
  • [9] Ablation as First-line Therapy for Atrial Fibrillation
    Andrade, Jason
    EUROPEAN CARDIOLOGY REVIEW, 2023, 18
  • [10] Catheter Ablation as a First-Line Therapy for Atrial Fibrillation - A Meta-Analysis
    Vallakati, Ajay
    Reddy, Madhu Y.
    Ponnaganti, Gopi C.
    Yarlagadda, Vivek
    Atkins, Donita
    Bommana, Sudharani
    Janga, Pramod
    Sridhar, Arun Raghav Mahankali
    Maybrook, Ryan
    Pimentel, Rhea C.
    DiBiase, Luigi
    Natale, Andrea
    Dawn, Buddhadeb
    Lakkireddy, Dhanunjaya
    CIRCULATION, 2013, 128 (22)
12345