Medicine · Cardiology and Cardiovascular Medicine
A cluster-randomized trial in India studied 1,507 adults with heart failure with reduced ejection fraction. Compared with usual care, a nurse-coordinated program supported by mobile health tools was associated with more days alive and out of the hospital and fewer deaths during two years of follow-up.
This human-focused meta-analysis compared catheter ablation alone with catheter ablation combined with left atrial appendage closure in 3,274 people with atrial fibrillation across 14 studies. The combined approach was associated with more recurrent abnormal heart rhythms and a slightly longer procedure time, while one serious fluid-related complication did not differ significantly between groups. Because the underlying studies were not described in full and randomized trials are still needed, the results are not conclusive.
