A 58-year-old male was diagnosed with persistent atrial fibrillation complicated with
dilated cardiomyopathy more than 5 years ago. He was treated with anticoagulant therapy
and optimal medical therapy, including β-blockers. Despite long-term medical treatment,
left ventricular reverse remodeling (LVRR) did not occur. Because heart failure management
became difficult (serum brain natriuretic peptide (BNP) levels of 1831 pg/ml), we
performed pulmonary vein isolation (PVI) for long standing atrial fibrillation. A
prominent LVRR occurred after one month (LV ejection fraction: 38 to 53%, LV diastolic
dimension: 70 to 59 mm) and serum BNP levels improved (83 pg/ml). Heart failure management,
such as β-blockers, has been shown to induce LVRR. In this case, LVRR did not occur
using pharmacological therapy and it required a PVI. In this presentation, we will
demonstrate the PVI treatment strategy for persistent atrial fibrillation patient
complicated with dilated cardiomyopathy.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Cardiac FailureAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
