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- W2025653525 endingPage "50" @default.
- W2025653525 startingPage "38" @default.
- W2025653525 abstract "Atrial fibrillation (AF) and heart failure (HF) are common and interrelated conditions, each promoting the other, and both associated with increased mortality. HF leads to structural and electrical atrial remodeling, thus creating the basis for the development and perpetuation of AF; and AF may lead to hemodynamic deterioration and the development of tachycardia-mediated cardiomyopathy. Stroke prevention by antithrombotic therapy is crucial in patients with AF and HF. Of the 2 principal therapeutic strategies to treat AF, rate control and rhythm control, neither has been shown to be superior to the other in terms of survival, despite better survival in patients with sinus rhythm compared with those in AF. Antiarrhythmic drug toxicity and poor efficacy are concerns. Catheter ablation of AF can establish sinus rhythm without the risks of antiarrhythmic drug therapy, but has important procedural risks, and data from randomized trials showing a survival benefit of this treatment strategy are still lacking. In intractable cases, ablation of the atrioventricular junction and placement of a permanent pacemaker is a treatment alternative; and biventricular pacing may prevent or reduce the negative consequences of chronic right ventricular pacing." @default.
- W2025653525 created "2016-06-24" @default.
- W2025653525 creator A5031133843 @default.
- W2025653525 creator A5084565412 @default.
- W2025653525 date "2010-01-01" @default.
- W2025653525 modified "2023-09-25" @default.
- W2025653525 title "Atrial Fibrillation in Congestive Heart Failure" @default.
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