You Won't Find it in the Guidelines! Ask the Master-Case Presentation (Presenter: Marye J. Gleva,)

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