Rhythm Control of Atrial Fibrillation in Heart Failure with Reduced Ejection Fraction

被引：4
|
作者：
Burkman, Gregory [1 ]
Naccarelli, Gerald V. [1 ]
机构：
[1] Penn State Univ, Coll Med, Inst Heart & Vasc, 500 Univ Dr,POB 850, Hershey, PA 17033 USA
来源：
CURRENT CARDIOLOGY REPORTS | 2020年 / 22卷 / 09期
关键词：
Atrial fibrillation; Heart failure; Rhythm control; CARDIAC RESYNCHRONIZATION THERAPY; VENTRICULAR SYSTOLIC DYSFUNCTION; CATHETER ABLATION; SINUS RHYTHM; NATRIURETIC PEPTIDE; PROGNOSTIC VALUE; FOLLOW-UP; MORTALITY; PERSISTENT; TRIAL;
D O I：
10.1007/s11886-020-01336-8
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Purpose of Review Atrial fibrillation and heart failure frequently co-exist with an increasing prevalence of atrial fibrillation as ejection fraction decreases. Atrial fibrillation is associated with increased mortality in patients with heart failure. This article will review rhythm and rate control options, ultimately supporting rhythm control via endocardial ablation. Recent Findings Randomized trials of a rhythm control strategy in patients with reduced ejection fraction heart failure have shown significant improvements in ejection fraction, oxygen consumption and also a significant reduction in mortality. The treatment of atrial fibrillation in patients with reduced ejection fraction heart failure should include an early rhythm control strategy via endocardial ablation.
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页数：9
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