Rate control strategy atrial fibrillation
I. Atrial Fibrillation: What every physician needs to know. There are three important reasons to control the ventricular rate in patients presenting with atrial fibrillation (AF). These are the patient’s symptomatic status, hemodynamic instability, and risk of developing tachycardia-medicated cardiomyopathy. Patients with untreated AF seek medical treatment for ventricular rates that may at Randomized trial of rate-control versus rhythm-control in persistent atrial fibrillation: the Strategies of Treatment of Atrial Fibrillation (STAF) study. J Am Coll Cardiol. 2003; 41:1690–1696. Crossref Medline Google Scholar; 5. Opolski G, Torbicki A, Kosior DA, Szulc M, Wozakowska-Kaplon B, Kolodziej P, Achremczyk P. Rate control in atrial fibrillation (ie, the appropriate rate to supply the necessary cardiac output for specific physiological demands and prevent adverse consequences) is a crucial part of atrial fibrillation management. However, serious gaps in knowledge exist making broad recommendations difficult for all clinical circumstances. Among these are the Atrial Fibrillation Follow-Up Investigation of Rhythm Management (AFFIRM), Rate Control Versus Electrical Cardioversion for Persistent Atrial Fibrillation Study (RACE), Pharmacological Intervention in Atrial Fibrillation (PIAF), Strategies of Treatment of Atrial Fibrillation (STAF), and How to Treat Chronic Atrial Chung MK, Shemanski L, Sherman DG, et al. Functional status in rate- versus rhythm-control strategies for atrial fibrillation: results of the Atrial Fibrillation Follow-Up Investigation of Rhythm Management (AFFIRM) Functional Status Substudy. J Am Coll Cardiol 2005; 46:1891.
Chung MK, Shemanski L, Sherman DG, et al. Functional status in rate- versus rhythm-control strategies for atrial fibrillation: results of the Atrial Fibrillation Follow-Up Investigation of Rhythm Management (AFFIRM) Functional Status Substudy. J Am Coll Cardiol 2005; 46:1891.
Whether a rate control or rhythm control strategy is chosen is very specific to each individual patient. Factors to consider are: ability to tolerate medications, degree of symptoms, degree of functional limitation, occupation, age, and other co-morbidities. Recommended Drug Doses for Heart Rate Control in Patients with Atrial Fibrillation Rate control in atrial fibrillation (ie, the appropriate rate to supply the necessary cardiac output for specific physiological demands and prevent adverse consequences) is a crucial part of atrial fibrillation management. However, serious gaps in knowledge exist making broad recommendations difficult for all clinical circumstances. In patients with atrial fibrillation and congestive heart failure, a routine strategy of rhythm control does not reduce the rate of death from cardiovascular causes, as compared with a rate Rapid ventricular response in atrial fibrillation patients is a daily occurrence in the emergency department. Rate control through atrioventricular node-blocking agents is a standard approach for stable patients, while good old electricity works for those who are unstable. Management of atrial fibrillation with the rhythm-control strategy offers no survival advantage over the rate-control strategy, and there are potential advantages, such as a lower risk of adverse Whether a rate control or rhythm control strategy is chosen is very specific to each individual patient. Factors to consider are: ability to tolerate medications, degree of symptoms, degree of functional limitation, occupation, age, and other co-morbidities. Recommended Drug Doses for Heart Rate Control in Patients with Atrial Fibrillation The Rate Control versus Electrical Cardioversion for Persistent Atrial Fibrillation (RACE) study group enrolled 522 patients with persistent AF after a previous electrical cardioversion to a strategy of rate control or rhythm control. Rate control was achieved using the same medications as in the AFFIRM trial.
11 Jun 2018 In older AF patients and those with concomitant HF, both rate and rhythm control strategies have similar rates of mortality and major clinical
27 Jan 2012 Rate-control versus rhythm-control strategies for patients with AF have been evaluated in previous studies. Several RCTs showed no significant Patients who remain in AF and where a rate control strategy has been chosen, the 'Rate Control versus Electrical Cardioversion for Persistent Atrial Fibrillation Calcium channel blocker diltiazem/verapamil). Calcium channel blockers can be used as part of a rate or rhythm control strategy for AF. There are two types of Additional drugs may be prescribed to control heart rate and rhythm in the AFib patient. These medications may also be used in conjunction with other Study objectives: The relative risks and benefits of strategies of rate control vs rhythm control in patients with atrial fibrillation (AF) remain to be fully explored.
I. Atrial Fibrillation: What every physician needs to know. There are three important reasons to control the ventricular rate in patients presenting with atrial fibrillation (AF). These are the patient’s symptomatic status, hemodynamic instability, and risk of developing tachycardia-medicated cardiomyopathy. Patients with untreated AF seek medical treatment for ventricular rates that may at
Rate control and rhythm control strategies have been associated with similar rates of stroke and death in patients with chronic atrial fibrillation (Arch Intern Med If pharmacological treatment is indicated, clinicians can choose between the rate control and the rhythm control strategy. The optimal substance should be rate.control. strategy,.the.ventricular.rate.is.controlled.with.no.commitment.to. restore.or 27 Jan 2012 Rate-control versus rhythm-control strategies for patients with AF have been evaluated in previous studies. Several RCTs showed no significant Patients who remain in AF and where a rate control strategy has been chosen, the 'Rate Control versus Electrical Cardioversion for Persistent Atrial Fibrillation
18 Jul 2019 Rhythm Control for Patients With Atrial Fibrillation Complicated With as rhythm control strategy substantially improves survival rate, reduces
A rhythm control strategy was chosen in 39.4% of the patients and rate control in nonvalvular atrial fibrillation in Spain are managed mainly with rate control, 22 Mar 2013 It's been debated whether rate control or rhythm control for afib is the better strategy, but Patrick Ellinor, MD, PhD, director of the Arrhythmia/Step
Rapid ventricular response in atrial fibrillation patients is a daily occurrence in the emergency department. Rate control through atrioventricular node-blocking agents is a standard approach for stable patients, while good old electricity works for those who are unstable. Management of atrial fibrillation with the rhythm-control strategy offers no survival advantage over the rate-control strategy, and there are potential advantages, such as a lower risk of adverse Whether a rate control or rhythm control strategy is chosen is very specific to each individual patient. Factors to consider are: ability to tolerate medications, degree of symptoms, degree of functional limitation, occupation, age, and other co-morbidities. Recommended Drug Doses for Heart Rate Control in Patients with Atrial Fibrillation The Rate Control versus Electrical Cardioversion for Persistent Atrial Fibrillation (RACE) study group enrolled 522 patients with persistent AF after a previous electrical cardioversion to a strategy of rate control or rhythm control. Rate control was achieved using the same medications as in the AFFIRM trial. I. Atrial Fibrillation: What every physician needs to know. There are three important reasons to control the ventricular rate in patients presenting with atrial fibrillation (AF). These are the patient’s symptomatic status, hemodynamic instability, and risk of developing tachycardia-medicated cardiomyopathy. Patients with untreated AF seek medical treatment for ventricular rates that may at