PMID- 28345365
OWN - NLM
STAT- MEDLINE
DCOM- 20170731
LR  - 20170731
IS  - 1651-2006 (Electronic)
IS  - 1401-7431 (Linking)
VI  - 51
IP  - 3
DP  - 2017 Jun
TI  - Atrioventricular nodal ablation in patients with resynchronization therapy and 
      atrial fibrillation - long term results.
PG  - 138-142
LID - 10.1080/14017431.2017.1307443 [doi]
AB  - OBJECTIVES: Atrioventricular nodal ablation (AVNA) is recommended for patients 
      (pts) with cardiac resynchronization therapy (CRT) having atrial fibrillation 
      (AF) and incomplete ventricular capture (Class IIa, level B). AVNA reduces 
      mortality and improves the New York Heart Association (NYHA) functional class 
      during intermediate term follow-up. The objectives were to study the long-term 
      outcome regarding quality of life (QoL) and survival of our CRT pts after AVNA. 
      DESIGN: 37 CRT-pts undergoing AVNA due to inadequate biventricular pacing were 
      included in the study. Data were retrospectively obtained from clinical records 
      and through telephone interviews. RESULTS: Twenty pts died during the follow-up 
      period of average 30.6 +/- 24 months. After AVNA the ventricular capture improved 
      significantly from 68.4 +/- 23% to 98.5 +/- 2% (p < 0.001). A significant and 
      sustained improvement of average 0.3 +/- 0.5 (p = 0.001) in NYHA functional class 
      was found. Additionally a large percentage of pts discontinued taking rate 
      reducing drugs with potential severe side effects. CONCLUSION: AVNA in CRT pts 
      was safe and effective. The treatment resulted in a sustained improvement in QoL, 
      including long-term improvement in NYHA functional class.
FAU - Aune, Arleen
AU  - Aune A
AD  - a Department for Cardiology , Haukeland University Hospital , Bergen , Norway.
FAU - Faerestrand, Svein
AU  - Faerestrand S
AD  - a Department for Cardiology , Haukeland University Hospital , Bergen , Norway.
AD  - b Department of Clinical Science , University of Bergen , Norway.
FAU - Hoff, Per Ivar
AU  - Hoff PI
AD  - a Department for Cardiology , Haukeland University Hospital , Bergen , Norway.
FAU - Schuster, Peter
AU  - Schuster P
AD  - a Department for Cardiology , Haukeland University Hospital , Bergen , Norway.
AD  - b Department of Clinical Science , University of Bergen , Norway.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20170327
PL  - England
TA  - Scand Cardiovasc J
JT  - Scandinavian cardiovascular journal : SCJ
JID - 9708377
SB  - IM
MH  - Aged
MH  - Atrial Fibrillation/diagnosis/mortality/physiopathology/*surgery
MH  - Atrioventricular Node/physiopathology/*surgery
MH  - *Cardiac Resynchronization Therapy/adverse effects/mortality
MH  - Catheter Ablation/adverse effects/*methods/mortality
MH  - Female
MH  - Heart Failure/diagnosis/mortality/physiopathology/*therapy
MH  - Humans
MH  - Interviews as Topic
MH  - Male
MH  - Medical Records
MH  - Middle Aged
MH  - Norway
MH  - Quality of Life
MH  - Recovery of Function
MH  - Retrospective Studies
MH  - Risk Factors
MH  - Survival Analysis
MH  - Time Factors
MH  - Treatment Outcome
OTO - NOTNLM
OT  - AV nodal ablation
OT  - Atrial Fibrillation
OT  - Chronic Heart Failure
OT  - Quality of Life
OT  - Resynchronization therapy
EDAT- 2017/03/28 06:00
MHDA- 2017/08/02 06:00
CRDT- 2017/03/28 06:00
PHST- 2017/03/28 06:00 [pubmed]
PHST- 2017/08/02 06:00 [medline]
PHST- 2017/03/28 06:00 [entrez]
AID - 10.1080/14017431.2017.1307443 [doi]
PST - ppublish
SO  - Scand Cardiovasc J. 2017 Jun;51(3):138-142. doi: 10.1080/14017431.2017.1307443. 
      Epub 2017 Mar 27.