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Erschienen in: Heart Failure Reviews 5/2019

02.05.2019

Invasive therapies for patients with concomitant heart failure and atrial fibrillation

verfasst von: Wei Wei, Michael Shehata, Xunzhang Wang, Fang Rao, Xianzhan Zhan, Huiming Guo, Xianhong Fang, Hongtao Liao, Jian Liu, Hai Deng, Yang Liu, Yumei Xue, Shulin Wu

Erschienen in: Heart Failure Reviews | Ausgabe 5/2019

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Abstract

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.
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Metadaten
Titel
Invasive therapies for patients with concomitant heart failure and atrial fibrillation
verfasst von
Wei Wei
Michael Shehata
Xunzhang Wang
Fang Rao
Xianzhan Zhan
Huiming Guo
Xianhong Fang
Hongtao Liao
Jian Liu
Hai Deng
Yang Liu
Yumei Xue
Shulin Wu
Publikationsdatum
02.05.2019
Verlag
Springer US
Erschienen in
Heart Failure Reviews / Ausgabe 5/2019
Print ISSN: 1382-4147
Elektronische ISSN: 1573-7322
DOI
https://doi.org/10.1007/s10741-019-09795-0

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