Rhythm Revolution: Strategies for Early AFib Control-2

Video Transcription

Video Summary

Dr. Hakeem Ayinde, a cardiac electrophysiologist, discusses strategies for rhythm control in patients with atrial fibrillation (AFib), comparing antiarrhythmic drugs and ablation techniques. He outlines the Vaughn-Williams classification of antiarrhythmic drugs, focusing on Class I (sodium channel blockers) and Class III (potassium channel blockers). He emphasizes careful consideration of patient characteristics, such as liver and kidney function, when choosing drugs like flecainide and propafenone. He also touches on potential toxicities.<br /><br />For ablation approaches, Dr. Ayinde describes three modalities: radiofrequency, cryoablation, and pulse field ablation (PFA). He highlights PFA's cardioselectivity and safety in sparing surrounding structures from damage. Studies, such as the CABANA and CAPTAF trials, suggest ablation may offer better outcomes compared to drug therapies, particularly in improving symptoms and quality of life. The 2023 guidelines now recommend catheter ablation as a class one option for rhythm control in certain patients with AFib.

Keywords

atrial fibrillation

antiarrhythmic drugs

catheter ablation

pulse field ablation

Vaughn-Williams classification

cardiac electrophysiologist