Management of atrial fibrillation in patients with heart failure

被引：14

作者：

Stevenson, Witharn G. ^{[1
]}

Tedrow, Usha ^{[1
]}

机构：

[1] Harvard Univ, Brigham & Womens Hosp, Sch Med, Dept Med,Div Cardiovasc, Boston, MA 02115 USA

来源：

HEART RHYTHM | 2007年 / 4卷 / 03期

关键词：

atrial fibrillation; antiarrhythmic drugs; ablation; heart failure;

D O I：

10.1016/j.hrthm.2006.12.003

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：S28 / S30

页数：3

共 34 条

[1] Amiodarone or an implantable cardioverter-defibrillator for congestive heart failure [J].

Bardy, GH ;

Lee, KL ;

Mark, DB ;

Poole, JE ;

Packer, DL ;

Boineau, R ;

Domanski, M ;

Troutman, C ;

Anderson, J ;

Johnson, G ;

McNulty, SE ;

Clapp-Channing, N ;

Davidson-Ray, LD ;

Fraulo, ES ;

Fishbein, DP ;

Luceri, RM ;

Ip, JH .

NEW ENGLAND JOURNAL OF MEDICINE, 2005, 352 (03) :225-237

[2] Outcome of heart failure with preserved ejection fraction in a population-based study [J].

Bhatia, R. Sacha ;

Tu, Jack V. ;

Lee, Douglas S. ;

Austin, Peter C. ;

Fang, Jiming ;

Haouzi, Annick ;

Gong, Yanyan ;

Liu, Peter P. .

NEW ENGLAND JOURNAL OF MEDICINE, 2006, 355 (03) :260-269

[3] Long-term safety and efficacy of circumferential ablation with pulmonary vein isolation [J].

Cheema, Aamir ;

Dong, Jun ;

Dalal, Darshan ;

Vasamreddy, Chandrasekhar R. ;

Marine, Joseph E. ;

Henrikson, Charles A. ;

Spragg, David ;

Cheng, Alan ;

Nazarian, Saman ;

Sinha, Sunil ;

Halperin, Henry ;

Berger, Ronald ;

Calkins, Hugh .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2006, 17 (10) :1080-1085

[4] Pulmonary vein isolation for the treatment of atrial fibrillation in patients with impaired systolic function [J].

Chen, MS ;

Marrouche, NF ;

Khaykin, Y ;

Gillinov, AM ;

Wazni, O ;

Martin, DO ;

Rossillo, A ;

Verma, A ;

Cummings, J ;

Erciyes, D ;

Saad, E ;

Bhargava, M ;

Bash, D ;

Schweikert, R ;

Burkhardt, D ;

Williams-Andrews, M ;

Perez-Lugones, A ;

Abdul-Karim, A ;

Saliba, W ;

Natale, A .

JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2004, 43 (06) :1004-1009

[5] Relationships between sinus rhythm, treatment, and survival in the atrial fibrillation follow-up investigation of rhythm management (AFFIRM) study [J].

Corley, SD ;

Epstein, AE ;

DiMarco, JP ;

Domanski, MJ ;

Geller, N ;

Greene, HL ;

Josephson, RA ;

Kellen, JC ;

Klein, RC ;

Krahn, AD ;

Mickel, M ;

Mitchell, LB ;

Nelson, JD ;

Rosenberg, Y ;

Schron, E ;

Shemanski, L ;

Waldo, AL ;

Wyse, DG .

CIRCULATION, 2004, 109 (12) :1509-1513

[6] Spontaneous conversion and maintenance of sinus rhythm by amiodarone in patients with heart failure and atrial fibrillation - Observations from the Veterans Affairs congestive heart failure survival trial of antiarrhythmic therapy (CHF-STAT) [J].

Deedwania, PC ;

Singh, BN ;

Ellenbogen, K ;

Fisher, S ;

Fletcher, R ;

Singh, SN .

CIRCULATION, 1998, 98 (23) :2574-2579

[7] Factors affecting bleeding risk during anticoagulant therapy in patients with atrial fibrillation: Observations from the Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) Study [J].

DiMarco, JP ;

Flaker, G ;

Waldo, AL ;

Corley, SD ;

Greene, HL ;

Safford, RE ;

Rosenfeld, LE ;

Mitrani, G ;

Nemeth, M .

AMERICAN HEART JOURNAL, 2005, 149 (04) :650-656

[8] Left ventricular-based cardiac stimulation post AV nodal ablation evaluation (The PAVE study) [J].

Doshi, RN ;

Daoud, EG ;

Fellows, C ;

Turk, K ;

Duran, A ;

Hamdan, MH ;

Pires, LA .

JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 2005, 16 (11) :1160-1165

[9] ACC/AHA/ESC 2006 Guidelines for the Management of Patients With Atrial Fibrillation A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines and the European Society of Cardiology Committee for Practice Guidelines (Writing Committee to Revise the 2001 Guidelines for the Management of Patients With Atrial Fibrillation) Developed in Collaboration With the European Heart Rhythm Association and the Heart Rhythm Society [J].

Fuster, Valentin ;

Ryden, Lars E. ;

Cannom, David S. ;

Crijns, Harry J. ;

Curtis, Anne B. ;

Ellenbogen, Kenneth A. ;

Halperin, Jonathan L. ;

Le Heuzey, Jean-Yves ;

Kay, G. Neal ;

Lowe, James E. ;

Olsson, S. Bertil ;

Prystowsky, Eric N. ;

Tamargo, Juan Luis ;

Wann, Samuel .

CIRCULATION, 2006, 114 (07) :E257-E354

[10] Ventricular fibrillation and sudden death after radiofrequency catheter ablation of the atrioventricular junction [J].

Geelen, P ;

Brugada, J ;

Andries, E ;

Brugada, P .

PACE-PACING AND CLINICAL ELECTROPHYSIOLOGY, 1997, 20 (02) :343-348

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