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[Treatment strategies for patients with atrial fibrillation and chronic heart failure]

S N Tereshchenko1,2, T M Uskach1,2

  • 1National Medical Research Center of Cardiology.

Terapevticheskii Arkhiv
|October 26, 2022
PubMed

Insights

Atrial fibrillation (AF) and chronic heart failure (CHF) often coexist, worsening patient outcomes. This review details their prevalence, prognosis, and optimal management strategies, focusing on rhythm control and anticoagulation safety.

Area of Science:

  • Cardiology
  • Internal Medicine

Context:

  • Atrial fibrillation (AF) and chronic heart failure (CHF) are prevalent cardiovascular conditions.
  • These conditions frequently coexist, creating a complex clinical scenario with significant morbidity and mortality.
  • The bidirectional relationship between AF and CHF necessitates tailored treatment approaches.

Purpose:

  • To review the prevalence and prognostic implications of concurrent AF and CHF.
  • To discuss current management strategies, including rhythm control and anticoagulation.
  • To highlight the importance of safety, particularly bleeding risk, in anticoagulant therapy for these patients.

Summary:

  • This article synthesizes data from meta-analyses on managing patients with both AF and CHF.
  • It examines rhythm control strategies in AF with concomitant CHF, referencing recent studies and clinical guidelines.
  • Key aspects of anticoagulant therapy, emphasizing safety and bleeding risk, are detailed.

Impact:

  • Provides clinicians with updated insights into the complex interplay of AF and CHF.
  • Informs treatment decisions regarding rhythm control and anticoagulation in this high-risk patient population.
  • Underscores the critical need for balancing therapeutic efficacy with safety to improve patient outcomes.

Keywords:
anticoagulant therapyatrial fibrillationchronic heart failurerhythm control

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