Rate control in permanent atrial fibrillation

Rate Control for Permanent Atrial Fibrillation

A brief history of rate control for atrial fibrillation. The first attempt to control the ventricular rate in a patient with atrial fibrillation (AF) was likely the description by William Withering of a patient whose pulse became “more full and more regular” after the administration of digitalis leaf in 1785 (1). In the 1931 edition of “Diseases of the Heart,” Sir Thomas Lewis (2) wrote that th...

Rate control in atrial fibrillation.

Untreated atrial fibrillation is usually associated with a rapid, irregular ventricular response and is often accompanied by symptoms including palpitations, fatigue, dyspnea, and dizziness. It is widely accepted that slowing the ventricular response, both at rest and during activity, with the use of drugs that prolong the refractory period of the atrioventricular (AV) node (so-called rate-cont...

Rate control in atrial fibrillation.

Control of the heart rate (rate control) is central to atrial fibrillation management, even for patients who ultimately require control of the rhythm. We review heart rate control in patients with atrial fibrillation, including the rationale for the intervention, patient selection, and the treatments available. The choice of rate control depends on the symptoms and clinical characteristics of t...

Rate Control in Atrial Fibrillation: Avoiding Morbidity.

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 ...