Invasive therapies for patients with concomitant heart failure and atrial fibrillation

Atrial fibrillation (AF) and heart failure (HF) are two clinical entities that can present either separately or concurrently. One entity can lead to the other and vice versa as AF can not only be the underlying etiology of HF but also exacerbate HF due to other cardiac diseases. Besides prevention o...

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Veröffentlicht in:Heart failure reviews 2019-09, Vol.24 (5), p.821-829
Hauptverfasser: Wei, Wei, Shehata, Michael, Wang, Xunzhang, Rao, Fang, Zhan, Xianzhan, Guo, Huiming, Fang, Xianhong, Liao, Hongtao, Liu, Jian, Deng, Hai, Liu, Yang, Xue, Yumei, Wu, Shulin
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container_end_page 829
container_issue 5
container_start_page 821
container_title Heart failure reviews
container_volume 24
creator Wei, Wei
Shehata, Michael
Wang, Xunzhang
Rao, Fang
Zhan, Xianzhan
Guo, Huiming
Fang, Xianhong
Liao, Hongtao
Liu, Jian
Deng, Hai
Liu, Yang
Xue, Yumei
Wu, Shulin
description Atrial fibrillation (AF) and heart failure (HF) are two clinical entities that can present either separately or concurrently. One entity can lead to the other and vice versa as AF can not only be the underlying etiology of HF but also exacerbate HF due to other cardiac diseases. Besides prevention of cerebral and systemic embolism and elimination of AF-related symptoms, restoration of sinus rhythm for AF patients helps to avoid or reduce HF, irrespective of their underlying heart disease. Successful rates of medical therapy for AF are low in persistent AF, and much lower in long-standing AF, while invasive procedures for AF yield promising results. In this review, the authors evaluate the value of invasive therapies for HF patients complicated with non-valvular AF. We examine this clinical problem by interpreting the relationships between these two entities: the mechanism of tachycardia-induced cardiomyopathy (TIC), past opinions about rhythm control and rate control of AF, discrimination of HF-related AF and AF-induced HF, how to identify the AF patients that could benefit from invasive therapies, and how to select invasive therapies for different AF patients and peri-operative treatments.
doi_str_mv 10.1007/s10741-019-09795-0
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subjects Animals
Atrial Fibrillation - physiopathology
Atrial Fibrillation - surgery
Cardiac arrhythmia
Cardiology
Cardiomyopathy
Cardiomyopathy, Dilated - diagnosis
Cardiomyopathy, Dilated - etiology
Cardiomyopathy, Dilated - surgery
Catheter Ablation - methods
Congestive heart failure
Coronary artery disease
Embolism
Etiology
Fibrillation
Heart failure
Heart Failure - physiopathology
Heart Failure - surgery
Humans
Medicine
Medicine & Public Health
Patients
Prognosis
Prostate
Risk Factors
Tachycardia
Tachycardia - complications
Treatment Outcome
title Invasive therapies for patients with concomitant heart failure and atrial fibrillation
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