| COR | LOE | RECOMMENDATIONS |
|---|---|---|
| 1 | C-LD | 1. In patients with AF and a persistently rapid ventricular response who undergo AVNA, initial pacemaker lower rate programming should be 80 to 90 bpm to reduce the risk of sudden death.1,2 |
| 2a | B-R | 2. In patients with AF and uncontrolled rapid ventricular response refractory to rate-control medications (who are not candidates for or in whom rhythm control has been unsuccessful), AVNA can be useful to improve symptoms and QOL.3-6 |
| 1 | B-NR | 3. In patients with AF who are planned to undergo AVNA, implantation of a pacemaker before the ablation (ie, before or same day of ablation) is recommended to ensure adequacy of the pacing leads before performing ablation.7-9 |
| 2b | C-LD | 4. In patients with AF with normal EF undergoing AVNA, conduction system pacing of the His bundle10-13 or left bundle area12,13 may be reasonable. |
Official websites use .gov
A
.gov website belongs to an official
government organization in the United States.
Secure .gov websites use HTTPS
A lock (
) or https:// means you've safely
connected to the .gov website. Share sensitive
information only on official, secure websites.