title: Atrioventricular Junction Ablation for Atrial Fibrillation.
abstract: Atrioventricular junction (AVJ) ablation is an effective therapy in patients with symptomatic atrial fibrillation who are intolerant to or unsuccessfully managed with rhythm control or medical rate control strategies. A drawback is that the procedure mandates a pacing system. Overall, the safety and efficacy of AVJ ablation is high with a majority of the patients reporting significant improvement in symptoms and quality-of-life measures. Risk of sudden cardiac death after device implantation is low, especially with an appropriate postprocedure pacing rate. Mortality benefit with AVJ ablation has been shown in patients with heart failure and cardiac resynchronization therapy devices.
authors.affiliation: Electrophysiology Section, Division of Cardiology, Ross Heart Hospital, Wexner Medical Center at The Ohio State University, Columbus, OH 43210, USA.
authors.forename: Dilesh
authors.initials: D
authors.lastname: Patel
authors.affiliation: Electrophysiology Section, Division of Cardiology, Ross Heart Hospital, Wexner Medical Center at The Ohio State University, Columbus, OH 43210, USA; Internal Medicine, Wexner Medical Center at The Ohio State University, 473 West 12th Avenue, DHLRI, Suite 200, Columbus, OH 43210, USA. Electronic address: emile.daoud@osumc.edu.
authors.forename: Emile G
authors.initials: EG
authors.lastname: Daoud
mesh_terms: D001281:Atrial Fibrillation / Q000503:physiopathology / Q000601:surgery*; D001283:Atrioventricular Node / Q000601:surgery*; D002304:Cardiac Pacing, Artificial / Q000379:methods; D058406:Cardiac Resynchronization Therapy / Q000379:methods; D017115:Catheter Ablation / Q000009:adverse effects / Q000379:methods*; D006321:Heart / Q000503:physiopathology*; D006801:Humans
keywords: Ablate and pace; Ablation; Atrial fibrillation; Atrioventricular junction; Atrioventricular node; Rate control