Atrial Fibrillation (AF) and Heart Failure With Preserved Ejection Fraction (HFpEF): Advances and Challenges

被引:0
作者
Saksena, Sanjeev [1 ,2 ]
Slee, April [2 ,3 ]
Nagarakanti, Ranghadham [1 ,2 ]
Prakash, Atul [2 ,4 ,5 ]
机构
[1] Rutgers Robert Wood Johnson Med Sch, Piscataway, NJ 08901 USA
[2] Electrophysiol Res Fdn, Warren, NJ 07059 USA
[3] UCL, London, England
[4] St Marys Gen Hosp Passa, Newark, NJ USA
[5] UMDNJ NJ Med Sch, Newark, NJ USA
关键词
basic: atrial fibrillation/atrial arrhythmias; clinical: catheter ablation-atrial fibrillation; clinical: electrophysiology-atrial arrhythmias; clinical: epidemiology/clinical trials; clinical: implantable devices-atrial fibrillation; CATHETER ABLATION; SGLT2; INHIBITORS; RHYTHM CONTROL; ANTIARRHYTHMIC-DRUGS; P-WAVE; PREVENTION; MORTALITY; RISK; DYSFUNCTION; CANDESARTAN;
D O I
10.1111/jce.16625
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This state-of-the-art review is based on the Philippe Coumel Lecture in 2024 (Figure 1). It highlights the confluence of two major cardiovascular epidemics, atrial fibrillation and heart failure, with preserved ejection fraction. In these conditions, advances in electrophysiology and heart failure physiology are intertwined and are integrated in this review. This constellation of disease states has its own unique epidemiologic features, pathophysiology, experimental and clinical mechanisms; and an increasing knowledge base with respect to clinical presentation, prognostic implications, and therapeutic options from pharmacologic advances and non-pharmacologic interventions. Major advances, continuing challenges, and future directions in this condition are described in this rapidly evolving field of scientific endeavor.
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页数:26
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