Intersection of EP and HF: Why HF and Arrhythmias Travel Together: Mechanistic Links Between AF, Cardiomyopathy, and Outcomes-Intersection of EP and HF: Why HF and Arrhythmias Travel Together: Mechanistic Links Between AF, Cardiomyopathy, and Outcomes Video

Intersection of EP and HF: Why HF and Arrhythmias Travel Together: Mechanistic Links Between AF, Cardiomyopathy, and Outcomes Video

Back to course

Video Transcription

Video Summary

The speaker explains that atrial fibrillation and heart failure often occur together and worsen each other through a bidirectional cycle of atrial stretch, fibrosis, and neurohormonal activation. This overlap greatly increases hospitalization, stroke, and mortality risk, with 10-year mortality reaching about 80%. Risk factors include hypertension, ischemic disease, aging, inflammation, and cardiomyopathy. Evidence suggests early rhythm control, especially catheter ablation, can improve ejection fraction and reduce death and heart failure admissions. The talk also highlights remote implantable sensor monitoring as a way to detect worsening heart failure weeks before decompensation.

Keywords

atrial fibrillation

heart failure

catheter ablation

remote implantable sensor monitoring

rhythm control