الرجفان الأذيني الانتيابي: ماذا تفعل عندما لم يحافظ ضبط الإيقاع الأولي على إيقاع الجيب

References

DOI: 10.1093/eurheartj/ehae176

• AF which terminates spontaneously within 7 days or with the assistance of an intervention.
• Catheter ablation is recommended in patients with paroxysmal or persistent AF resistant or intolerant to antiarrhythmic drug therapy to reduce symptoms, recurrence, and progression of AF.
• Repeat AF catheter ablation should be considered in patients with AF recurrence after initial catheter ablation, provided the patient's symptoms were improved after the initial PVI or after failed initial PVI, to reduce symptoms, recurrence, and progression of AF.
• Endoscopic and hybrid ablation procedures may be considered in patients with symptomatic paroxysmal AF refractory to AAD therapy and failed percutaneous catheter ablation strategy to prevent symptoms, recurrence, and progression of AF, within a shared decision-making rhythm control team of electrophysiologists and surgeons.