| Management of atrial fibrillation in patients with heart failure. | |
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MedLine Citation:
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PMID: 18381187 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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 radiofrequency 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. |
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Authors:
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Michael Efremidis; Loukas Pappas; Anthony Sideris; Gerasimos Filippatos |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of cardiac failure Volume: 14 ISSN: 1532-8414 ISO Abbreviation: J. Card. Fail. Publication Date: 2008 Apr |
Date Detail:
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Created Date: 2008-04-02 Completed Date: 2008-05-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9442138 Medline TA: J Card Fail Country: United States |
Other Details:
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Languages: eng Pagination: 232-7 Citation Subset: IM |
Affiliation:
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Evangelismos General Hospital of Athens and the Athens University Hospital, Attikon, Athens Greece. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Anti-Arrhythmia Agents
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therapeutic use* Atrial Fibrillation / etiology, mortality*, therapy* Catheter Ablation / methods* Combined Modality Therapy Electrocardiography Female Heart Failure / complications*, diagnosis, therapy Humans Male Prognosis Randomized Controlled Trials as Topic Recurrence Risk Assessment Severity of Illness Index Survival Analysis Treatment Outcome |
| Chemical | |
Reg. No./Substance:
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0/Anti-Arrhythmia Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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