医学
心房颤动
心脏病学
心力衰竭
内科学
射血分数
冲程(发动机)
导管消融
射血分数保留的心力衰竭
机械工程
工程类
作者
Jonathan Ariyaratnam,Dennis H. Lau,Prashanthan Sanders,Jonathan M. Kalman
标识
DOI:10.1016/j.ccep.2020.11.004
摘要
Atrial fibrillation (AF) and heart failure (HF) have similar risk factors, frequently coexist, and potentiate each other in a vicious cycle. Evidence suggests the presence of AF in both HF with reduced ejection fraction (HFrEF) and HF with preserved ejection fraction (HFpEF) increases the risk of all-cause mortality and stroke, particularly when AF is incident. Catheter ablation may be an effective strategy in controlling symptoms and improving quality of life in AF-HFrEF. Strong data guiding management of AF-HFpEF are lacking largely due to its challenging diagnosis. Improving outcomes associated with these coexistent conditions requires further careful investigation.
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