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B Hesselson A, Hesselson H. Hemodynamic Management of Patients with Ejection Fraction < 50% Undergoing Pulmonary Vein Ablation. J Atr Fibrillation. 2021;13(6):20200439doi: 10.4022/jafib.20200439.
B Hesselson, A., & Hesselson, H. (2021). Hemodynamic Management of Patients with Ejection Fraction < 50% Undergoing Pulmonary Vein Ablation. Journal of atrial fibrillation, 13(6), 20200439. https://doi.org/10.4022/jafib.20200439
B Hesselson, Aaron, and Hesselson, Heather. "Hemodynamic Management of Patients with Ejection Fraction < 50% Undergoing Pulmonary Vein Ablation." Journal of atrial fibrillation vol. 13,6 (2021): 20200439. doi: https://doi.org/10.4022/jafib.20200439
B Hesselson A, Hesselson H. Hemodynamic Management of Patients with Ejection Fraction < 50% Undergoing Pulmonary Vein Ablation. J Atr Fibrillation. 2021 Apr 30;13(6):20200439. doi: 10.4022/jafib.20200439. eCollection 2021. PMID: 34950346; PMCID: PMC8691288.
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J Atr Fibrillation. 2021 Apr 30;13(6):20200439. doi: 10.4022/jafib.20200439. eCollection 2021.

Hemodynamic Management of Patients with Ejection Fraction < 50% Undergoing Pulmonary Vein Ablation.

Journal of atrial fibrillation

Aaron B Hesselson, Heather Hesselson

Affiliations

  1. University of Kentucky Division of Cardiovascular Medicine, 900 South Limestone Street, CTW 305D, Lexington, KY 40536.
  2. University of Kentucky, College of Pharmacy, 789 S Limestone, Lexington, KY 40508.

PMID: 34950346 PMCID: PMC8691288 DOI: 10.4022/jafib.20200439

Abstract

There is no consensus regarding optimal methodology forblood pressure monitoring inpatients with a depressed ejection fraction undergoingcatheter ablationfor atrial fibrillation. Our goalswere to determine ifhemodynamicmanagementdifferences exist during radiofrequency ablation for atrial fibrillation in patients with and without an ejection fraction< 50%, and whether management was influenced by the utilization of invasive arterial blood pressure monitoring. This single-center trial retrospectively compared blood pressure management during catheterablation of atrial fibrillationin all patients with an ejection fraction< 50% over a 2-year span (n=44), and compared to an age-matched cohort with preserved ejection fraction ablated over the same span in time (n=44). Blood pressure was not significantly managed differently between the groups, and did not appear to be influenced by the use of invasive arterial blood pressure monitoring.Hemodynamic management is similar across the spectrum of ejection fraction, regardless of invasive arterial blood pressure monitoring, which challenges the need for invasive arterial blood pressure monitoringduringcatheter ablation ofatrial fibrillationin left ventricular systolic dysfunction.

Keywords: Ablation; Atrial fibrillation; Left ventricular systolic dysfunction; Tolerance

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