PMID- 19861396 OWN - NLM STAT- MEDLINE DCOM- 20100202 LR - 20211020 IS - 1532-2092 (Electronic) IS - 1099-5129 (Print) IS - 1099-5129 (Linking) VI - 11 Suppl 5 IP - Suppl 5 DP - 2009 Nov TI - Cardiac resynchronization therapy in heart failure patients with atrial fibrillation. PG - v82-6 LID - 10.1093/europace/eup273 [doi] AB - Cardiac resynchronization therapy (CRT) is an important device-based, non-pharmacological approach that has shown, in large randomized trials, to improve left ventricular (LV) function and reduce both morbidity and mortality rates in selected patients affected by advanced heart failure (HF): New York Heart Association (NYHA) functional class III-IV, reduced LV systolic function with an ejection fraction (EF) or=120 ms, on optimal medical therapy, and who were in sinus rhythm. For the first time, the latest ESC and AHA/ACC/HRS Guidelines have considered atrial fibrillation (AF) patients, who constitute an important subgroup of HF patients, as eligible to receive CRT. Nevertheless, these Guidelines did not include a strategy for defining differentiated approaches according to AF duration or burden. In this review, the authors explain in which way AF may interfere with adequate CRT delivery, how to manage different AF burden, and finally present a brief overview on the effects of CRT in AF patients. FAU - Gasparini, Maurizio AU - Gasparini M AD - IRCCS Istituto Clinico Humanitas, Via Manzoni 56, Rozzano/Milano, Italy. maurizio.gasparini@humanitas.it FAU - Regoli, Francois AU - Regoli F FAU - Galimberti, Paola AU - Galimberti P FAU - Ceriotti, Carlo AU - Ceriotti C FAU - Cappelleri, Alessio AU - Cappelleri A LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - England TA - Europace JT - Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology JID - 100883649 SB - IM MH - Atrial Fibrillation/physiopathology/*therapy MH - Cardiac Pacing, Artificial/*methods MH - Catheter Ablation MH - Defibrillators MH - Heart Failure/physiopathology/*therapy MH - Humans MH - Kaplan-Meier Estimate MH - Treatment Outcome PMC - PMC2768583 EDAT- 2009/11/05 06:00 MHDA- 2010/02/03 06:00 PMCR- 2009/11/01 CRDT- 2009/10/29 06:00 PHST- 2009/10/29 06:00 [entrez] PHST- 2009/11/05 06:00 [pubmed] PHST- 2010/02/03 06:00 [medline] PHST- 2009/11/01 00:00 [pmc-release] AID - eup273 [pii] AID - 10.1093/europace/eup273 [doi] PST - ppublish SO - Europace. 2009 Nov;11 Suppl 5(Suppl 5):v82-6. doi: 10.1093/europace/eup273.