Continuous Monitoring of Atrial Fibrillation in Heart Failure

被引:1
作者
Herweg, Bengt [1 ]
Barold, S. Serge
Steinberg, Jonathan S. [2 ,3 ]
机构
[1] Univ S Florida, Morsani Coll Med, Dept Cardiovasc Dis, Tampa, FL 33606 USA
[2] Valley Hlth Syst, Arrhythmia Inst, Ridgewood, NJ 07450 USA
[3] Columbia Univ Coll Phys & Surg, Dept Med, New York, NY 10032 USA
关键词
Atrial fibrillation; Heart failure; Cardiac resynchronization; Dual-chamber pacemaker; Continuous cardiac monitoring; Stroke; Thromboembolism; CARDIAC RESYNCHRONIZATION THERAPY; ATRIOVENTRICULAR JUNCTION ABLATION; LONG-TERM SURVIVAL; HIGH-RATE EPISODES; SINUS RHYTHM; DEVICE; RISK; TACHYARRHYTHMIAS; EVENTS; DEFIBRILLATOR;
D O I
10.1016/j.hfc.2013.06.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In patients with atrial fibrillation (AF) undergoing cardiac resynchronization therapy (CRT) fore heart failure, continuous monitoring of the percentage of biventricular (BiV%) pacing has shown that the greatest improvement and reduction in mortality occur with a BiV pacing greater than 98%. Continuous monitoring of BiV pacing has improved the CRT management of patients with AF. Continuous monitoring has generated important new questions about anticoagulant therapy, which require randomized trials. Anticoagulant therapy should probably be considered in patients who have a high risk of thromboembolism according to standard scoring systems.
引用
收藏
页码:385 / +
页数:12
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