Improved survival in patients with atrial fibrillation and heart failure undergoing catheter ablation compared to medical treatment: A systematic review and meta-analysis of randomized controlled trials.
Jorge E RomeroMohamed GabrIsabella AlvizJ David BurkhardtJuan Carlos DíazDaniel RodriguezKavisha PatelDalvert PolancoChintan TrivediSanghamitra MohantyDomenico Della RoccaDhanunjaya LakkireddySanghamitra MohantyLuigi Di BiasePublished in: Journal of cardiovascular electrophysiology (2022)
CA for AF in patients with HF decreases all-cause mortality, improves all-atrial arrhythmia recurrence rate and LVEF when compared to medical management. CA should be considered the treatment of choice to improve survival in this select group of patients. Nonetheless, the benefit of CA in patients with severely reduced ejection fraction and New York Heart Association class IV HF has not been clearly elucidated.