Document Detail

Catheter ablation of atrial fibrillation in the elderly.
MedLine Citation:
PMID:  21099679     Owner:  NLM     Status:  In-Data-Review    
PURPOSE OF REVIEW: Atrial fibrillation is increasingly prevalent among older adults and is a major contributor to morbidity in this population due to associated strokes, heart failure, and quality of life impairment. Catheter ablation for atrial fibrillation is demonstrated to be superior to antiarrhythmic therapy for the control of symptomatic and medically refractory atrial fibrillation, but its safety and efficacy in the elderly are not well understood. Clinical trials to guide the optimal management strategy in this population are lacking.
RECENT FINDINGS: Several nonrandomized clinical studies have recently addressed the issue of catheter ablation in the elderly and show favorable rates of success. Unfortunately, these studies are limited by the relatively small numbers of patients examined and often by their single-center and retrospective nature.
SUMMARY: Before the results of these studies can be extrapolated, data from larger cohorts of elderly patients followed prospectively are desperately needed.
Eric S Williams; Burr Hall; Darren Traub; Tristram Bahnson; Patrick Hranitzky; Wojciech Zareba; James P Daubert
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Current opinion in cardiology     Volume:  26     ISSN:  1531-7080     ISO Abbreviation:  Curr. Opin. Cardiol.     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2012-03-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8608087     Medline TA:  Curr Opin Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  25-9     Citation Subset:  IM    
aDivision of Cardiology, Duke Center for Atrial Fibrillation, Duke University Medical Center, Durham, North Carolina, USA bCardiology Division, University of Rochester Medical Center, Rochester, New York, USA.
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