Pharmacologic and Nonpharmacologic Therapeutic Approaches of Atrial Fibrillation in Patients With Congestive Heart Failure
Keywords:atrial fibrillation, congestive heart failure, rhythm control, rate control, anticoagulation, cardiac resynchronization therapy, cardioversion, antiarrhythmic drugs, catheter ablation
Atrial fibrillation (AF) and congestive heart failure (CHF) constitute the two ???epidemics?? of cardiovascular disease that often coexist and result in significant morbidity and mortality. Due to the complex interaction between AF and CHF, neither can be? treated optimally without treating both. Despite an extensive amount of research and literature about each of these disorders separately, there is a paucity of controlled clinical trial data for the management of AF among patients with CHF. Consequently, the optimal therapy of these patients remains controversial. New treatment approaches, both pharmacologic and nonpharmacologic, including catheter ablation techniques, as well as the results of ongoing clinical trials are likely to alter future AF management in CHF patients.
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