Rhythm Control Strategies for Atrial Arrhythmias in Special Populations-Rhythm Control Strategies for Atrial Arrhythmias in Special Populations

Video Transcription

Video Summary

The session "Rhythm Control Strategies for Atrial Arrhythmias in Special Populations" at Heart Rhythm 2025 explored strategies in different demographics, focusing on the elderly, underrepresented racial and ethnic groups, women, and younger populations. Dr. Annabelle Volgman presented on managing atrial fibrillation (AF) in patients aged 75 and older, emphasizing anticoagulation due to high stroke risk and discussing the complex choice between antiarrhythmic drugs and catheter ablation. The session further highlighted rhythm control strategies in underrepresented groups, noting disparities in access to treatments and procedural outcomes.<br /><br />In women, sex differences in AF were noted, with women being more symptomatic and less likely to receive rhythm control therapies like ablation, despite evidence that early rhythm control improves outcomes. Dr. Russo discussed these disparities and the need for comprehensive evaluation to address underlying issues.<br /><br />In younger patients, Dr. Kelly Arps stressed evaluating for genetic conditions and considering lifestyle factors. The benefit of catheter ablation was highlighted due to its ability to prevent long-term progression of AF.<br /><br />Discussions highlighted the complexities of individualizing care based on age, gender, race, and underlying conditions, emphasizing the importance of early intervention and personalized treatment strategies in AF management.

Keywords

atrial arrhythmias

rhythm control

elderly

underrepresented groups

women

younger populations

catheter ablation

anticoagulation

personalized treatment