Management of atrial fibrillation in patients with heart failure

被引：31

作者：

Efremidis, Michael

Pappas, Loukas

Sideris, Anthony

Filippatos, Gerasimos

机构：

[1] Athens Univ Hosp, Attikon 11523, Ambelokipi Athe, Greece

[2] Evangelismos Gen Hosp, Athens, Greece

来源：

JOURNAL OF CARDIAC FAILURE | 2008年 / 14卷 / 03期

关键词：

atrial fibrillation; heart failure; rhythm control; rate control; antiarrhythmic drugs; ablation; cardiac resynchronization therapy;

D O I：

10.1016/j.cardfail.2007.10.023

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: There is a well-documented relationship and a complex interaction between atrial fibrillation (AF) and heart failure. The coexistence of these 2 clinical entities renders their management even more challenging. Methods and results: We searched current literature to review the management of AF in patients with heart failure. The cornerstones of AF treatment are rate control, cardioversion, and maintenance of sinus rhythm (SR), and prevention of thromboembolism. The issue of rhythm versus rate control remains unresolved. Nonpharmacologic therapies such as radiolfrequency catheter ablation of the atrioventricular node with permanent pacemaker implantation, curative catheter ablation of AF, and cardiac resynchronization therapy are emerging and may alter the management of these patients. Conclusion: Treatment of atrial fibrillation in the setting of heart failure encompasses a variety of approaches including drugs, devices, and ablation. Larger randomized trials are required to clarify the management of such patients.

引用

收藏

页码：232 / 237

页数：6

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