A review on atrioventricular junction ablation and pacing for heart rate control of atrial fibrillation

作     者：Konstantinos Vlachos Konstantinos P Letsas Panagiotis Korantzopoulos Tong Liu Michael Efremidis Antonios Sideris 

作者机构：Laboratory of Invasive Cardiac Electrophysiology 'Evangelismos' General Hospital of Athens Athens Greece Department of Cardiology University Hospital of Ioannina Ioannina Greece Tianjin Key Laboratory of Ionic-Molecular Function of Cardiovascular Disease Department of Cardiology Tianjin Institute of Cardiology Second Hospital of Tianjin Medical University Tianjin China 

出 版 物：《Journal of Geriatric Cardiology》 (老年心脏病学杂志（英文版）)

年 卷 期：2015年第12卷第5期

页      面：547-554页

核心收录：

学科分类：0710[理学-生物学] 12[管理学] 120203[管理学-旅游管理] 1202[管理学-工商管理] 07[理学] 071003[理学-生理学] 

主　　题：Ablation Atrial fibrillation Atrioventricular junction Pacemaker 

摘      要：Atrioventricular junction ablation with permanent pacemaker implantation is a highly effective treatment approach in patients with atrial fibrillation and high ventricular rates resistant to other treatment modalities, especially in the elderly or those with severe comorbidities. Compared with pharmacological therapy alone, the so-called ＂ablate and pace＂ approach offers the potential for more robust control ofven- tricular rate. Atrioventricular junction ablation and pacing strategy is associated with improvement in symptoms, quality of life, and exercise capacity. Given the close relationship between atrial fibrillation and heart failure, there is a particular benefit of such a rate control in patients with atrial fibrillation and reduced systolic fimction. There is increasing evidence that cardiac resynchronization therapy devices may be beneficial in selected populations after atrioventricular junction ablation. The present review article focuses on the current recommendations for atrioventricular junction ablation and pacing for heart rate control in patients with atrial fibrillation. The technique, the optimal implanta- tion time, and the proper device selection after atrioventricular junction ablation are also discussed.