If refractory to rate control meds and noncandidate failed rhythm control AVNA can improve sx and QOL but creates dependence on pacing

By rray, 25 January, 2024
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Consider consequences of lifelong pacemaker implantation esp w respect to age and comorbidities in decision making regarding benefit
No evidence supports AVNA as 1st line tx
Implant pacemaker before or same day as ablation to ensure adequacy of pacing leads prior to ablation
Program initial pacemaker lower rate to 80 90 bpm to reduce risk of sudden death
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If refractory to rate-control meds and noncandidate/failed rhythm control, AVNA can improve sx and QOL but creates dependence on pacing.