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April 30, 2014Open Access

Rate control remains the mainstay for AF in HF while NOACs improve stroke prevention.

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Population

Patients with co-existing heart failure (systolic and diastolic dysfunction) and atrial fibrillation

Design

Review

Key result

Rate control remains the mainstay of treatment for atrial fibrillation in heart failure, while newer oral anticoagulants offer improved stroke prevention compared to traditional therapies.

Authors

RTRichard TillMCMartín Cowie

Discussion

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Overview

Supports rate control and NOACs for AF in HF; extends evidence synthesis while leaving optimal strategies open.

Structured PICO

P
Population
Patients with co-existing heart failure (systolic and diastolic dysfunction) and atrial fibrillation
I
Intervention
Various management strategies including rate control, rhythm control, atrial fibrillation ablation, and anticoagulation (warfarin, newer oral anticoagulants, left atrial appendage occlusion)

This review summarizes current management strategies for patients with coexisting heart failure and atrial fibrillation, highlighting rate control as the mainstay and the emerging role of newer oral anticoagulants.

Cite This Study

Till et al. (2014) conducted a review in Atrial Fibrillation and Heart Failure. Rate control remains the mainstay of treatment for atrial fibrillation in heart failure, while newer oral anticoagulants offer improved stroke prevention compared to traditional therapies.

synapsesocial.com/papers/6a08aaf8280cd4e998e8d7e1https://doi.org/10.4022/jafib.1036
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The Role of Atrial Fibrillation among Patients with Chronic Heart Failure2020
  2. 2Management Of Atrial Fibrillation In Patients With Heart Failure.2014 · 4 citations
  3. 3Atrial Fibrillation in Patients with Heart Failure: Pharmacologic Options2001 · 6 citations
  4. 4Atrial fibrillation and heart failure2013 · 5 citations
  5. 5Atrial Fibrillation and Heart Failure.2008 · 2 citations