Posts Tagged ‘af’

Are guidelines adhered to at first assessment of atrial fibrillation

Nurse led atrial fibrillation (AF) clinics have been reported to improve adherence to guidelines and improve clinical outcome. In order to assess the potential for this approach to improve patient care locally an audit of current AF management was conducted.

I. Melton, L. Lim
Christchurch Hospital, Christchurch
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

Cryoablation for AF in the Waikato; Early results

Cryoablation is a novel treatment for atrial fibrillation (AF). Commencing November 2012 with 3 operators (2 AF ablation novices), cryoablation has been performed in patients with paroxysmal AF and selected persistent AF cases. We retrospectively assessed all cryoablation patients treated over the first 14 months.

E. Kooijman, I. Grey, R. Allen, S. Heald, D. Boddington, M. Stiles
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

Low prevalence of left atrial thrombus detected by transoesphageal echocardiogram in patients with arrhythmia prior to DC cardioversion

Patients requiring acute DC cardioversion (DCCV) for atrial fibrillation (AF) or flutter (AFlt) require exclusion of left atrial appendage (LAA) thrombus to reduce their risk of stroke. Transoesophageal echocardiography (TOE) is the gold standard modality but is invasive. Cardiac CT has a high negative predictive value for LA thrombus and is potentially an alternative to TOE in this population. We studied the prevalence of LAA thrombus and spontaneous echo contrast (SEC) in patients who required acute DCCV to determine the feasibility of using CT in this setting.

D. Hare, A. Pope, S. Kueh, J. Looi, N. van Pelt, R. Gabriel
Department of Cardiology, Middlemore Hospital, Auckland
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

Second generation cryoballoons – are they any better?

Cryoballoon ablation is an accepted technique for the performance of pulmonary vein isolation to treat symptomatic atrial fibrillation (AF) refractory to anti-arrhythmic therapy. Initial reports with a second generation balloon suggest this may provide enhanced efficiency and efficacy.

M. Arshad, M. Daly, I. Crozier, I. Melton
Christchurch Hospital, Christchurch
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

Cryoballoon ablation for atrial fibrillation

Cryoballoon ablation has recently emerged as an alternative technique for atrial fibrillation (AF) ablation. No data has been reported on the outcomes of this approach in the New Zealand setting.

M. Arshad, M. Daly, I. Crozier, I. Melton
Christchurch Hospital, Christchurch
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

Pre-operative atrial fibrillation is independently associated with short and long-term mortality after aortic valve replacement

Atrial fibrillation (AF) is the commonest cardiac arrhythmia, becoming increasing prevalent as the population ages, and is an important risk factor for stroke. There are conflicting results around whether AF is associated with adverse outcomes after aortic valve replacement (AVR) amongst the few studies that have investigated this. We compared the characteristics and outcomes of patients undergoing AVR by history of AF.

T. Wang, D. Choi, T. Ramanathan, P. Ruygrok
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

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