Pharmacologic Rhythm Control versus Rate Control in Heart Failure and Atrial Fibrillation

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Rate versus rhythm control in atrial fibrillation.

OBJECTIVE To determine whether rate control is a viable initial treatment approach in persistent atrial fibrillation (AF) through the evaluation of recently completed trials comparing rate and rhythm control. DATA SOURCES Biomedical literature was obtained through MEDLINE (1966-December 2003) and the Iowa database. STUDY SELECTION AND DATA EXTRACTION Articles identified from the biomedical ...

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Rhythm control versus rate control for atrial fibrillation and heart failure.

BACKGROUND It is common practice to restore and maintain sinus rhythm in patients with atrial fibrillation and heart failure. This approach is based in part on data indicating that atrial fibrillation is a predictor of death in patients with heart failure and suggesting that the suppression of atrial fibrillation may favorably affect the outcome. However, the benefits and risks of this approach...

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Atrial fibrillation and congestive heart failure: a cost analysis of rhythm-control vs. rate-control strategies.

BACKGROUND Atrial fibrillation (AF) is common in patients with heart failure. Rhythm- and rate-control strategies are associated with similar efficacy outcomes. We compared the economic impact of the 2 treatment strategies in patients with AF and heart failure from the province of Québec, Canada. METHODS In a substudy of the Atrial Fibrillation and Congestive Heart Failure trial, health care ...

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Stroke prevention in atrial fibrillation: pharmacological rate versus rhythm control.

Atrial fibrillation is a common arrhythmia associated with increased risk for embolic stroke. Restoration of sinus rhythm in patients with atrial fibrillation is a logical strategy to prevent the cardiovascular and thromboembolic complications of this dysrhythmia. The most common strategy for restoration of sinus rhythm is pharmacological antiarrhythmic therapy with or without electrical cardio...

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Cost-effectiveness of rhythm versus rate control in atrial fibrillation.

BACKGROUND Atrial fibrillation is the most common type of sustained cardiac arrhythmia, but recent trials have identified no clear advantage of rhythm control over rate control. Consequently, economic factors often play a role in guiding treatment selection. OBJECTIVE To estimate the cost-effectiveness of rhythm-control versus rate-control strategies for atrial fibrillation in the Atrial Fibr...

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ژورنال

عنوان ژورنال: eJournal Kedokteran Indonesia

سال: 2017

ISSN: 2338-6037,2338-1426

DOI: 10.23886/ejki.4.7113.197-203