Key result
Rhythm control generally favored over rate control for AF in cardiac amyloidosis despite scarce evidence.
Why the study?
Does rhythm control improve clinical outcomes compared to heart rate control in patients with atrial fibrillation and cardiac amyloidosis?
Does rhythm control improve clinical outcomes compared to heart rate control in patients with atrial fibrillation and cardiac amyloidosis?
While rhythm control is generally favored over rate control in patients with cardiac amyloidosis and atrial fibrillation to preserve atrial kick, clinical management remains challenging due to poor medication tolerability and a lack of robust trial data.
Should not yet change practice favoring rhythm control in amyloidosis AF; leaves open need for RCTs to confirm outcomes.
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Trevizan et al. (2024) conducted a review in Atrial Fibrillation and Cardiac Amyloidosis. Rhythm control vs. Rate control was evaluated. Rhythm control is generally favored over rate control for managing atrial fibrillation in cardiac amyloidosis, although robust clinical evidence remains scarce and management is challenging.
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