Significance of Atrial Fibrillation Management Based on the Sequence of Atrial Fibrillation and Heart Failure Onset

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Atrial fibrillation and heart failure.

Atrial fibrillation (AF) and congestive heart failure (CHF) are the new epidemics of the third millennium due to ageing of the population and the success of new therapies for acute cardiac illnesses that, in the past, were fatal. The interactions between AF and CHF are only partially understood, and the effectiveness of drugs as well as that of non-pharmacological interventions remains often di...

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Atrial Fibrillation and Heart Failure.

Atrial fibrillation is common in heart failure patients and is associated with increased mortality. Pharmacologic trials have not shown any survival benefit for a rhythm control over a rate control strategy. It has been suggested that sinus rhythm is associated with a survival benefit, but that the risks of anti-arrhythmic drug treatment and poor efficacy offset the beneficial effect. Catheter ...

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Atrial fibrillation in heart failure.

Heart failure (HF) and atrial fibrillation (AF) are highly prevalent debilitating conditions that often coexist and are frequently encountered in clinical practice. The presence of chronic AF is a marker of worse prognosis in patients with HF, and the onset of new AF in those with chronic HF is associated with increased morbidity and mortality. Advances in the development of novel drugs, nonpha...

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Prognostic Significance of Atrial Fibrillation in Advanced Heart Failure

Background. Atrial fibrillation is common in advanced heart failure, but its prognostic significance is controversial. Methods and Results. We evaluated the relation of atrial rhythm to overall survival and sudden death in 390 consecutive advanced heart failure patients. Etiology of heart failure was coronary artery disease in 177 patients (45%) and nonischemic cardiomyopathy or valvular heart ...

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Management of atrial fibrillation in the setting of heart failure.

Heart failure is often complicated by atrial fibrillation. Once atrial fibrillation has started it further enhances heart failure due to uncontrolled rate with shortened filling time and provocation of tachycardiomyopathy. Absent atrial kick and irregularity of the ventricular rhythm also contribute. Considering these mechanisms, restoration of sinus rhythm is most beneficial but is associated ...

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ژورنال

عنوان ژورنال: Circulation Journal

سال: 2020

ISSN: 1346-9843,1347-4820

DOI: 10.1253/circj.cj-20-0654