Review Article

Meta-Analysis of Atrial Fibrillation Ablation in Patients with Systolic Heart Failure

Table 4

Intervention and follow up.

KhanMacDonaldJonesHunterDi BiasePrabhuMarrouche

Frequency of monitoring (months)3 & 63 & 63,6 & 121, 3 & 63, 6, 12 & 24
3 & 6 3, 6, 12, 24, 36, 48 & 60

Method of assessing rhythmLoop recorder24h holter monitor48h holter monitor ± existing implantable devices48h holter monitorECG, and existing implantable devices24h holter monitor and ILRExisting implantable devices

Repeat procedure8 (19.5%)6 (28.6%)5 (19.2%)14 (53.8%)1.4 ± 0.6 per personRepeat procedure was allowed (frequency not defined)37 (24.5%)

CrossoverNoneNone2NoneNoneNone46

Loss to follow-upNone3None1None133

Ablation strategyPVI ± Linear lesions ± left atrial complex fractionated electrogramsPVI ± Linear lesions ± left atrial complex fractionated electrograms ± Cardioversion ± cavotricuspid isthmus ablationPVI ± Linear lesions ± left atrial complex fractionated electrograms ± Cardioversion ± cavotricuspid isthmus ablation.PVI ± Linear lesions ± left atrial complex fractionated electrograms ± Cavotricuspid isthmus ablationPVI, and left atrial posterior wall isolation ± SVC isolation ± Linear lesions ± left atrial complex fractionated electrograms ± cardioversionPVI, left posterior wall isolation ± cardioversionPVI, Additional ablation lesions were made at the discretion of the operators

PVI: pulmonary veins isolation and SVC: superior vena cava.