• Symptomatic paroxysmal or persistent AF AND
• Failed at least 1 anti-arrhythmic medication OR
• Unwilling or unable to take anti-arrhythmic therapy
• Atrial fibrillation with concurrent heart failure
• Symptomatic episodes of palpitations with one or more:
• ED presentations with documented narrow complex tachycardia reverting with Valsalva, carotid massage or adenosine administration
• Reliable termination of symptoms with Valsalva manoeuvre
• Documentation of arrhythmia on 12 lead ECG, holter or iPhone monitoring device.
• Significant VE burden (usually single morphology) associated with one or more of the following:
• Troublesome symptoms such as palpitations
• Reduced LV function
• Sustained VT
• Impairment of Bi-Ventricular Pacemaker function
• One or more of:
• Recurrent symptomatic VT unresponsive to anti-arrhythmic medications
• Recurrent VT with intolerance to antiarrhythmic therapy
• Recurrent VT leading to ICD shocks
• Atrial fibrillation where rhythm control has failed or is otherwise unsuitable for AF ablation AND
• Rapid ventricular rates despite medical rate control OR
• Poor toleration of rate control medications OR
• Symptomatic heart failure
• Complete or high grade atrio-ventricular block
• Bradycardia associated with:
• Syncope or collapse
• Dizziness
• Conduction abnormalities associated with:
• Syncope or collapse
• Dizziness
• Prior to planned AV node ablation
• Heart failure with left bundle branch block and LVEF <35% (Bi-ventricular pacemaker)
• Persistent LVEF <35% despite medical therapy
• Survivors of cardiac arrest due to VT of VF
• Non-sustained VT in certain high risk patients
• Patients with unexplained syncope or collapse
• Patients with unexplained stroke (monitoring for AF detection)
AF Care Plans
An integrated smart-phone based AF care plan to help manage your AF risk factors, and keep your GP informed of your goals.
The Melbourne AF Centre
Fully integrated, goal focused, patient engaged AF management
• Electronic AF care plans
• Arrhythmia nurse follow up
• Timely interventional therapies
• Smart phone risk factor management and AF monitoring
