Attempting to cure atrial fibrillation during mitral valve surgery: can we measure a benefit?

Finlay, Malcolm; Hadjivassilev, Stanislav

doi:10.1093/ehjqcco/qcw036

Cited by 1 publication

(2 citation statements)

References 15 publications

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“…The benefits of surgical ablation were most pronounced in lower-risk patients, such as those with a EuroSCORE of 2-5 or age under 50 [27]. Surgical ablation was also found to be safe, with no increase in operative mortality [27,28]. These findings support current guidelines that give a class IA recommendation for surgical ablation in patients undergoing MV surgery who also have AF [27].…”

Section: Influence Of Rhythm Versus Rate Control Strategies In Atrial...supporting

confidence: 70%

“…Surgical ablation of atrial fibrillation (AF) during mitral valve (MV) surgery has been shown to significantly improve long-term survival in patients with both MV disease and AF [27] [28]. In one of the largest European registries, patients who underwent concomitant MV repair or replacement and surgical ablation had nearly 20% improved survival compared to those who had MV surgery alone [27].…”

Section: Influence Of Rhythm Versus Rate Control Strategies In Atrial...mentioning

confidence: 99%

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Unraveling the Complexity: A Systematic Review of Atrial Fibrillation in Percutaneous Mitral Valve Repair

Fahimi,

Beikmohammadi,

Rostami

2024

Preprint

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In our exploration of percutaneous mitral valve repair (PMVR) alongside conditions like atrial fibrillation (AF), we uncover a fascinating and complex relationship that significantly impacts patient outcomes. Our journey through various studies, including patient registries, meta-analyses, and cohort investigations, reveals the intricate interplay between AF and PMVR. Despite the advancements in PMVR techniques, AF adds layers of complexity, influencing procedural success rates, long-term clinical outcomes, and post-operative complications. While some studies suggest that AF may not heavily affect short-term results, others highlight its association with increased risks of mortality, heart failure hospitalization, and post-PMVR adverse events. Our exploration also delves into the anatomical and remodeling changes induced by PMVR, shedding light on the importance of understanding how AF interacts with cardiac chamber remodeling. Along the way, we acknowledge the limitations inherent in such research, including data variability, publication bias, and potential confounding factors, urging a cautious approach to interpreting findings. Through this review, we offer valuable insights into the challenges and considerations surrounding AF in the context of PMVR. Our hope is that these insights will guide clinicians and researchers as they navigate this complex landscape, ultimately enhancing patient care and outcomes in the realm of mitral valve repair.

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Section: Influence Of Rhythm Versus Rate Control Strategies In Atrial...supporting

confidence: 70%

Section: Influence Of Rhythm Versus Rate Control Strategies In Atrial...mentioning

confidence: 99%

Unraveling the Complexity: A Systematic Review of Atrial Fibrillation in Percutaneous Mitral Valve Repair

Fahimi,

Beikmohammadi,

Rostami

2024

Preprint

View full text Add to dashboard Cite

show abstract

Attempting to cure atrial fibrillation during mitral valve surgery: can we measure a benefit?

Cited by 1 publication

References 15 publications

Unraveling the Complexity: A Systematic Review of Atrial Fibrillation in Percutaneous Mitral Valve Repair

Unraveling the Complexity: A Systematic Review of Atrial Fibrillation in Percutaneous Mitral Valve Repair

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