Ablation of Atrial Fibrillation in the Elderly: Current Evidence and Evolving Trends
- PMID: 28496693
- PMCID: PMC5153048
- DOI: 10.4022/jafib.341
Ablation of Atrial Fibrillation in the Elderly: Current Evidence and Evolving Trends
Abstract
Management of atrial fibrillation in the elderly presents unique challenges, including deciding upon the best treatment strategy: rate control versus rhythm control. The decision to pursue one treatment strategy over another is based on understanding the underlying disorder: symptomatology from atrial fibrillation itself versus symptoms due to a rapid ventricular response from atrial fibrillation. The ablation strategies for the treatment of atrial fibrillation include atrioventricular junction ablation and pulmonary vein isolation. This review discusses the data on ablation of atrial fibrillation in the elderly, with an emphasis on issues regarding safety and efficacy in this population.
Figures
References
-
- Feinberg W M, Blackshear J L, Laupacis A, Kronmal R, Hart R G. Prevalence, age distribution, and gender of patients with atrial fibrillation. Analysis and implications. Arch. Intern. Med. 1995 Mar 13;155 (5):469–73. - PubMed
-
- Aronow Wilbert S. Management of the older person with atrial fibrillation. J. Gerontol. A Biol. Sci. Med. Sci. 2002 Jun;57 (6):M352–63. - PubMed
-
- Go A S, Hylek E M, Phillips K A, Chang Y, Henault L E, Selby J V, Singer D E. Prevalence of diagnosed atrial fibrillation in adults: national implications for rhythm management and stroke prevention: the AnTicoagulation and Risk Factors in Atrial Fibrillation (ATRIA) Study. JAMA. 2001 May 09;285 (18):2370–5. - PubMed
-
- Kamath Sridar, Lip Gregory Y H. Atrial fibrillation in the elderly: anticoagulation strategies and indications in the very elderly. Am J Geriatr Cardiol. 2002 Nov 6;11 (6):357–62. - PubMed