Atrial Fibrillation Management in Heart Failure: Interrupting the Vicious Cycle

AbstractPurpose of reviewIn this review article, we aim to describe the pathophysiology of concomitant atrial fibrillation and both left and right heart failure, as well as pronounce the prognosis of having these two conditions simultaneously. This review also summarizes the current management of atrial fibrillation including stroke and thromboembolism prevention in the presence of systolic and diastolic heart failure.Recent findingsWhile rhythm control strategy is not superior to rate control strategy in atrial fibrillation patients without heart failure, catheter ablation for atrial fibrillation has shown to improve outcomes in patients with coexisting heart failure.SummaryAtrial fibrillation is the most common arrhythmia that frequently coexists with heart failure. The incidence of one condition increases in the presence of the other posing a significant treatment challenge. Despite ample advancement in management strategies of atrial fibrillation and heart failure, this combination is associated with higher morbidity and mortality when found in the same patient. The treatment goal in these patients is to improve quality of life by controlling symptoms and to prevent thromboembolism with appropriate anticoagulation. Catheter ablation is a promising treatment option for symptomatic patients with depressed ventricular function. Finally, pacing with cardiac resynchronization therapy after AV nodal ablation should be considered when strict control of ventricular rate is desire...
Source: Current Treatment Options in Cardiovascular Medicine - Category: Cardiology Source Type: research

Related Links:

Conclusion: Our work represents the initial experience in the liver transplantation technique for thrombectomy in distinct and well-selected patients with atrial tumor thrombi. The effectiveness of this approach needs further study. The video presentation of our research took place in March 2019 at the 34th Annual EAU Congress in Barcelona. PMID: 32612649 [PubMed]
Source: Advances in Urology - Category: Urology & Nephrology Tags: Adv Urol Source Type: research
Authors: Au SY, Chan KS, Fong KM, Yung SK, Ng WYG, Leung KHA Abstract Termination of peripheral veno-arterial extracorporeal membrane oxygenation support by managing the arteriotomy wound using a percutaneous closure device was reported successful and effective. However, careful assessment by clinical examination and also ultrasound Doppler assessment of the lower limb vasculature after closure is of paramount importance. Complications including pseudoaneurysm, arterial stenosis, and acute thrombosis are not uncommon. In this case report, commercial microbubbles were used as ultrasound contrast to enhance the image...
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
CONCLUSION: Subcutaneously anchored securement is a very promising strategy for avoiding dislodgment. Further studies are warranted, in particular for the purpose of defining (a) the best management of the anchoring device so to avoid local problems, (b) the patient populations in which it may be considered highly cost-effective and even mandatory, (c) the possible benefit in terms of reduction of other catheter-related complications such as venous thrombosis and/or infection, and-last but not least-(d) their impact on the workload and stress level of nurses taking care of the devices. PMID: 32613887 [PubMed - as supplied by publisher]
Source: The Journal of Vascular Access - Category: Surgery Tags: J Vasc Access Source Type: research
Publication date: Available online 3 July 2020Source: International Journal of Africa Nursing SciencesAuthor(s): Oluwaseyi Isaiah Olabisi, Olorunfemi Ola, Adetola Bolaji, Fatimah O. Azeez, Odunola Azeez, Tolulope Esther Olabisi
Source: International Journal of Africa Nursing Sciences - Category: African Health Source Type: research
Publication date: Available online 24 June 2020Source: Saudi Journal of Biological SciencesAuthor(s): Neda M. Bogari, Ashwag Aljohani, Anas Dannoun, Osama Elkhateeb, Masimo Porqueddu, Amr A. Amin, Dema N. Bogari, Mohiuddin M. Taher, Faruk Buba, Reem M. Allam, Mustafa N. Bogari, Francesco Alamanni
Source: Saudi Journal of Biological Sciences - Category: Biology Source Type: research
Publication date: 15 September 2020Source: Life Sciences, Volume 257Author(s): Leandro Severo, Douglas Godinho, Felipe Machado, Diane Hartmann, Michele Rechia Fighera, Félix Alexandre Soares, Ana Flavia Furian, Mauro Schneider Oliveira, Luiz Fernando Royes
Source: Life Sciences - Category: Biology Source Type: research
CONCLUSION: discharge planning based on the NIC improves the NOC score and may interfere in the health outcomes. PMID: 32609201 [PubMed - in process]
Source: Revista Brasileira de Enfermagem - Category: Nursing Authors: Tags: Rev Bras Enferm Source Type: research
CONCLUSIONS: it highlights the importance of directing health promotion for caregivers, inserting them in the care process, recognizing their needs and intensifying practices that promote empowerment for care, bypassing curative actions. PMID: 32609175 [PubMed - in process]
Source: Revista Brasileira de Enfermagem - Category: Nursing Authors: Tags: Rev Bras Enferm Source Type: research
AIMS: Comorbid alcohol use and depression have the highest prevalence among emerging adults and are associated with a number of consequences. Self-medication theory posits individuals with depression use alcohol to cope with their negative emotions. Prelim...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
This paper focuses on depression that precedes an onset of manifest bipolar disorder as early stage bipolar disorder. First, we review how to pragmatically identify the clinical characteristics of patients presenting with an episode of depression who subse...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
More News: Arrhythmia | Atrial Fibrillation | Cardiac Resynchronization Therapy | Cardiology | Cardiovascular | Depression | Heart | Heart Failure | Stroke | Thrombosis