Atrial fibrillation (AF) and acute heart failure (AHF) are two closely interrelated conditions that frequently coexist in a manifold manner, with AF serving either as the causative factor or as the consequence or even as an innocent bystander. The interplay between these two clinical conditions is complex, given that they share common pathophysiological pathways and they can reciprocally exacerbate each other, thus triggering a vicious cycle that worsens the prognosis and increases the thromboembolic risk. The optimal management of AF in the context of AHF in the emergency department remains a challenge depending on the time onset, as well as the nature and the severity of the associated symptoms. Acute rate control, along with early rhythm control, when indicated, and anticoagulation represent the main pillars of the therapeutic intervention. The purpose of this review is to elucidate the pathophysiological link between AF and AHF and accordingly present a stepwise algorithmic approach for the management of AF in AHF patients in the emergency setting.
机构:
Duke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USADuke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USA
Carlisle, Matthew A.
;
Fudim, Marat
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机构:
Duke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USA
Duke Clin Res Inst, Durham, NC USADuke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USA
Fudim, Marat
;
DeVore, Adam D.
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机构:
Duke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USA
Duke Clin Res Inst, Durham, NC USADuke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USA
DeVore, Adam D.
;
Piccini, Jonathan P.
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机构:
Duke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USA
Duke Clin Res Inst, Durham, NC USADuke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USA
机构:Taipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Chen, Yao-Chang
;
Yeh, Yung-Hsin
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Chang Gung Univ, Chang Gung Mem Hosp, Cardiovasc Div 1, Tao Yuan, TaiwanTaipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Yeh, Yung-Hsin
;
Lin, Yung-Kuo
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机构:
Taipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Taipei Med Univ, Grad Inst Clin Med, Taipei, TaiwanTaipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Lin, Yung-Kuo
;
Wu, Tsu-Juey
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机构:
Natl Yang Ming Univ, Sch Med, Inst Clin Med, Taipei, Taiwan
Taipei Vet Gen Hosp, Div Cardiol, Taipei, Taiwan
Taichung Vet Gen Hosp, Div Cardiol, Taichung, TaiwanTaipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Wu, Tsu-Juey
;
Lin, Cheng-I
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Natl Def Med Ctr, Dept Biomed Engn, Taipei, TaiwanTaipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Lin, Cheng-I
;
Chen, Shih-Ann
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机构:
Natl Yang Ming Univ, Sch Med, Inst Clin Med, Taipei, Taiwan
Natl Yang Ming Univ, Sch Med, Dept Med, Taipei, Taiwan
Taipei Vet Gen Hosp, Div Cardiol, Taipei, TaiwanTaipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Chen, Shih-Ann
;
Chen, Yi-Jen
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机构:
Taipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Taipei Med Univ, Grad Inst Clin Med, Taipei, TaiwanTaipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
机构:
Duke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USADuke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USA
Carlisle, Matthew A.
;
Fudim, Marat
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机构:
Duke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USA
Duke Clin Res Inst, Durham, NC USADuke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USA
Fudim, Marat
;
DeVore, Adam D.
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h-index: 0
机构:
Duke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USA
Duke Clin Res Inst, Durham, NC USADuke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USA
DeVore, Adam D.
;
Piccini, Jonathan P.
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h-index: 0
机构:
Duke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USA
Duke Clin Res Inst, Durham, NC USADuke Univ, Med Ctr, Dept Med, Duke Ctr Atrial Fibrillat, Durham, NC 27710 USA
机构:Taipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Chen, Yao-Chang
;
Yeh, Yung-Hsin
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h-index: 0
机构:
Chang Gung Univ, Chang Gung Mem Hosp, Cardiovasc Div 1, Tao Yuan, TaiwanTaipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Yeh, Yung-Hsin
;
Lin, Yung-Kuo
论文数: 0引用数: 0
h-index: 0
机构:
Taipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Taipei Med Univ, Grad Inst Clin Med, Taipei, TaiwanTaipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Lin, Yung-Kuo
;
Wu, Tsu-Juey
论文数: 0引用数: 0
h-index: 0
机构:
Natl Yang Ming Univ, Sch Med, Inst Clin Med, Taipei, Taiwan
Taipei Vet Gen Hosp, Div Cardiol, Taipei, Taiwan
Taichung Vet Gen Hosp, Div Cardiol, Taichung, TaiwanTaipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Wu, Tsu-Juey
;
Lin, Cheng-I
论文数: 0引用数: 0
h-index: 0
机构:
Natl Def Med Ctr, Dept Biomed Engn, Taipei, TaiwanTaipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Lin, Cheng-I
;
Chen, Shih-Ann
论文数: 0引用数: 0
h-index: 0
机构:
Natl Yang Ming Univ, Sch Med, Inst Clin Med, Taipei, Taiwan
Natl Yang Ming Univ, Sch Med, Dept Med, Taipei, Taiwan
Taipei Vet Gen Hosp, Div Cardiol, Taipei, TaiwanTaipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Chen, Shih-Ann
;
Chen, Yi-Jen
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机构:
Taipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan
Taipei Med Univ, Grad Inst Clin Med, Taipei, TaiwanTaipei Med Univ, Wan Fang Hosp, Div Cardiovasc Med, Taipei, Taiwan