Management of atrial fibrillation in patients with heart failure.

Abstract:

:Atrial fibrillation is a marker for worse outcomes in patients with heart failure and requires careful, individualized management. Anticoagulation and rate control are important. Routine use of antiarrhythmic drug therapy for maintenance of sinus rhythm carries concerns of risk and limited efficacy. Catheter ablation for maintaining sinus rhythm is feasible for some patients, but further studies are needed to define the risks and benefits. A role remains for AV junction ablation and pacing, with consideration of biventricular pacing to prevent dyssynchrony induced by chronic right ventricular pacing. Ongoing trials will continue to define the risks and benefits as these therapies evolve.

journal_name

Heart Rhythm

journal_title

Heart rhythm

authors

Stevenson WG,Tedrow U

doi

10.1016/j.hrthm.2006.12.003

subject

Has Abstract

pub_date

2007-03-01 00:00:00

pages

S28-30

issue

3 Suppl

eissn

1547-5271

issn

1556-3871

pii

S1547-5271(06)02233-8

journal_volume

4

pub_type

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