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Indications for CPP in Atrial Fibrillation (AF)
CPP in AF
COR LOE Recommendations
2a B-R 1. In patients with AF undergoing atrioventricular junction
(AVJ) ablation with LVEF ≤50%, CRT with BiV pacing is
reasonable to improve HFH, reverse structural remodeling,
and improve quality of life, exercise capacity, LVEF, and
potentially mortality.
2a B-NR 2. In patients with AF who otherwise meet CRT implantation
eligibility criteria, CRT with BiV pacing can be beneficial to
improve quality of life, functional capacity, and LVEF.
2b C-LD 3. In patients with AF undergoing AVJ ablation, HBP with or
without a backup ventricular pacing lead may be reasonable to
improve or preserve LVEF and improve functional class.
2b C-LD 4. In patients undergoing AVJ ablation, it may be reasonable to
implant an LBBAP lead.
2b C-LD 5. In patients with a high burden of ventricular pacing, HBP or
LBBAP may be reasonable to decrease the risk of AF.
