Key result
This review presents an original algorithm for the management of atrial fibrillation in patients with heart failure, incorporating medical and catheter-based therapies.
Why the study?
Heart failure and atrial fibrillation are common conditions causing significant morbidity and mortality that present distinct clinical treatment challenges when occurring together.
This review provides a comprehensive overview and a proposed algorithm for the clinical management of patients with concurrent heart failure and atrial fibrillation.
Heart Failure (HF) and Atrial Fibrillation (AF) are common diseases which lead to significant morbidity and mortality. Each disease can be a challenge to treat clinically, especially when they present together. We performed a review of the literature including clinical trials, metanalyses, and guidelines regarding the management of patients with HF and AF. This review describes the pathophysiologic mechanisms behind each disease state, their associated prognosis, and epidemiologic features. Strategies for prevention of stroke in patients with AF, including use of novel oral anticoagulants as well as prevention of the development of AF are discussed. We review the medical and catheter-based therapies for AF and present an original algorithm for the management of AF in patients with HF.
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Parker et al. (2020) conducted a review in Heart Failure and Atrial Fibrillation. Management strategies (medical and catheter-based therapies) was evaluated. This review presents an original algorithm for the management of atrial fibrillation in patients with heart failure, incorporating medical and catheter-based therapies.
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