Conclusions
It may be said that CRT has a role in improving functional capacity over conventional right ventricular pacing in patients with left ventricular failure who require permanent ventricular stimulation and/or in those with an indication for AV nodal ablation. As for the great majority of patients with advanced heart failure and AF without conventional indications for permanent cardiac pacing — a wide and progressively expanding population in the “border zone” of current indications for CRT — no definite data are available. Some promising results from ablated patients show a favourable trend in major cardiac event reduction after CRT. More controlled clinical data are required to achieve definite conclusions about the indications for CRT in heart failure patients with AF.
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Paperini, l., Carluccio, M., Pardini, E. (2005). Is CRT Useful in Patients with Atrial Fibrillation?. In: Gulizia, M.M. (eds) Emerging Pathologies in Cardiology. Springer, Milano . https://doi.org/10.1007/88-470-0341-5_22
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