Congestive heart failure induces structural and electrical atrial remodeling, which contributes to the development of atrial fibrillation.
May promote AF via remodeling in CHF; leaves open whether targeting remodeling alters outcomes.
Atrial remodeling due to CHF is characterized by structural changes, abnormalities of conduction, sinus node dysfunction, and increased refractoriness. These abnormalities may be responsible in part for the increased propensity for AF in CHF.
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Sanders et al. (2003) studied this question.
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