How to Manage Atrial Fibrillation in a Heart Failure Patient

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INDUSTRY HIGHLIGHT ATRIAL FIBRILLATION About This Content
News and Information for Healthcare Professionals	June 15, 2012
Management of Atrial Fibrillation in the Heart Failure Patient While managing atrial fibrillation (AF) can be challenging enough on its own, in patients with concomitant heart failure (HF) even greater care must be exercised in determining appropriate therapies. Issues such as anticoagulation, rate versus rhythm control, and ablation (surgical or catheter-based) are all common management concerns. The fact that either AF or HF alone can predispose a patient to the other condition, and that prognosis of both together is worse than either alone, makes this interplay even more interesting. The prevalence of AF in HF ranges from 10% to 50%, with a higher prevalence found as severity of HF increases.1-4 Learn more for a brief review of clinical and management aspects of these patients. Read the full article at MedPageToday.com 1 Roy D, et al; Atrial Fibrillation and Congestive Heart Failure Investigators. Rhythm Control Versus Rate Control for Atrial Fibrillation and Heart Failure. N Engl J Med. 2008;358:2667-2677. 2 Joglar JA, et al. Effect of Carvedilol on Survival and Hemodynamics in Patients With Atrial Fibrillation and Left Ventricular Dysfunction: Retrospective Analysis of the US Carvedilol Heart Failure Trials Program. Am Heart J. 2001;142:498-501. 3 Carson PE, et al. The Influence of Atrial Fibrillation on Prognosis in Mild to Moderate Heart Failure. The V-HeFT Studies. The V-HeFT VA Cooperative Studies Group. Circulation. 1993;87(suppl 6):VI102-VI110. 4 Maisel WH, et al. Atrial Fibrillation in Heart Failure: Epidemiology, Pathophysiology, and Rationale for Therapy. Am J Cardiol. 2003;91(6A):2D-8D.

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