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Case Presentation (Presenter: Marye J. Gleva,)
Case Presentation (Presenter: Marye J. Gleva,)
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Video Transcription
Video Summary
The presenter discusses a case of a 59-year-old male with heart failure and atrial fibrillation. The patient had a prior heart failure hospitalization, atrial fibrillation, and a thrombus on transesophageal echo. He was initially treated with dabigatran and then started on dofetilide. Although he initially felt better, he later returned to the clinic feeling unwell and back in atrial fibrillation. The presenter considers several treatment options including another antiarrhythmic drug trial, device interventions, AF ablation, AV node ablation, and cardiac contractility modulation. Ultimately, the patient required temporary mechanical support with a balloon pump and was listed for a heart transplant. The presenter highlights the importance of careful deliberation and personalized treatment plans for complex heart failure patients. They also stress the need for collaboration between heart failure and electrophysiology teams to make appropriate treatment decisions. The presenter concludes by discussing the potential role of cardiac contractility modulation in the device arena.
Meta Tag
Lecture ID
3924
Location
Room 151
Presenter
Marye J. Gleva,
Role
Invited Speaker
Session Date and Time
May 09, 2019 10:30 AM - 12:00 PM
Session Number
S-011
Keywords
heart failure
atrial fibrillation
thrombus
dabigatran
dofetilide
mechanical support
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