Atrial Fibrillation: Beyond Rate Control

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Atrial Fibrillation: Beyond Rate Control Subir Bhatia, MD, Alan Sugrue, MBBCh, BAO, Samuel Asirvatham, MD Mayo Clinic Proceedings Volume 93, Issue 3, Pages 373-380 (March 2018) DOI: 10.1016/j.mayocp.2017.10.024 Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Flow diagram for initiation of rhythm or catheter ablation in symptomatic patients with atrial fibrillation. Catheter ablation as a first-line therapy is typically for patients with heart failure and tachycardiomyopathy. Catheter ablation may also be performed if pharmacotherapy is initiated but fails. CAD = coronary artery disease; HFpEF = heart failure with preserved ejection fraction; HFrEF = heart failure with reduced ejection fraction; LVH = left ventricular hypertrophy. Mayo Clinic Proceedings 2018 93, 373-380DOI: (10.1016/j.mayocp.2017.10.024) Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Catheter ablation of triggering foci around the pulmonic veins. IVC = inferior vena cava; L. = left; LV = left ventricle; n. = nerve; R. = right; RA = right atrium; RV = right ventricle; SVC = superior vena cava; v. = vein. Mayo Clinic Proceedings 2018 93, 373-380DOI: (10.1016/j.mayocp.2017.10.024) Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

Mayo Clinic Proceedings 2018 93, 373-380DOI: (10. 1016/j. mayocp. 2017 Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions