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Atrioventricular junction ablation and pacemaker implantation for heart failure associated with atrial fibrillation: potential issues and therapies in the setting of acute heart failure syndrome. Heart Fail Rev 2011 Sep;16(5):457-65



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Atrial fibrillation is the most common arrhythmia and is especially clinically important in patients with heart failure. Prolonged atrial fibrillation with high ventricular rate response may lead to development or worsening of left ventricular function. If adequate heart rate control cannot be obtained medically, often patients will undergo pacemaker implant and catheter ablation of the atrioventricular junction. This intervention can have profound effects on the course of heart failure. This article reviews the technique, complications, outcome data, and alternatives to this management strategy. The potential role of this therapeutic modality in those hospitalized with acute heart failure syndromes is discussed.

Author List

Rubenstein JC, Roth JA


James A. Roth MD Associate Professor in the Medicine department at Medical College of Wisconsin
Jason C. Rubenstein MD Associate Professor in the Medicine department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Acute Disease
Anti-Arrhythmia Agents
Atrial Fibrillation
Atrioventricular Node
Cardiac Resynchronization Therapy
Catheter Ablation
Combined Modality Therapy
Critical Pathways
Heart Failure
Heart Rate
Heart Ventricles
Practice Guidelines as Topic
Randomized Controlled Trials as Topic
Ventricular Function, Left
jenkins-FCD Prod-482 91ad8a360b6da540234915ea01ff80e38bfdb40a