CBS 2019
CBSMD教育中心
中 文

Congestive Heart Failure

Abstract

Recommended Article

Clinical trial design and rationale of the Multicenter Study of MagLev Technology in Patients Undergoing Mechanical Circulatory Support Therapy With HeartMate 3 (MOMENTUM 3) investigational device exemption clinical study protocol Primary Prevention of Heart Failure in Women Efficacy and Safety of Dapagliflozin in Heart Failure With Reduced Ejection Fraction According to Age: Insights From DAPA-HF Rationale and design of the comParIson Of sacubitril/valsartaN versus Enalapril on Effect on nt-pRo-bnp in patients stabilized from an acute Heart Failure episode (PIONEER-HF) trial SGLT-2 Inhibitors and Cardiovascular Risk: An Analysis of CVD-REAL Phenomapping for Novel Classification of Heart Failure With Preserved Ejection Fraction Determinants of exercise intolerance in heart failure with preserved ejection fraction: A systematic review and meta-analysis The year in cardiovascular medicine 2020: heart failure and cardiomyopathies

Original Research

JOURNAL:CBSMD Article Link

Atrial Fibrillation and the Risk of Heart Failure

CBSMD

Pre-reading

Atrial Fibrillation and the Risk of Heart Failure


June, 2018 "Progression of Device-Detected Subclinical Atrial Fibrillation and the Risk of Heart Failure" pointed out patients with a pacemaker or defibrillator, short-lasting, subclinical atrial fibrillation (SCAF) progression was strongly associated with HF hospitalization.



In a nationally representative cohort, US National Readmissions Database, which collects data from 22 states. There were 60,203 adults who underwent CA of AF. The primary endpoint was early mortality, defined as mortality either during the index ablation hospitalization or during 30-day rehospitalizations. Early mortality following AF ablation affected nearly 1 in 200 patients, with the majority of deaths occurring during 30-day readmission. Procedural complications, congestive heart failure, and low hospital AF ablation volume were predictors of early mortality. Prompt management of post-procedure complications and CHF may be critical for reducing mortality rates following AF ablation. The mortality rate reported in this study is likely to be an underestimate, because deaths that occurred outside the hospital or in a state other than the one in which the index ablation procedure was performed were not accounted for in the National Readmissions Database. In addition to early identification and treatment of a complication and HF, the data suggest that mortality also could be improved by restricting low-volume hospitals from performing AF CA procedures in the absence of an experienced proctor.


1. Screening for Atrial Fibrillation With ECG: USPSTF Recommendation

2. 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society