2006, Number S2
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Arch Cardiol Mex 2006; 76 (S2)
Atrial fibrillation: Rhythm vs rate control congenital heart disease
Rivera RL
Language: Spanish
References: 8
Page: 193-195
PDF size: 76.10 Kb.
ABSTRACT
The atrial fibrillation treatment has been controversial
since almost a century. Several studies
have been done and there is not a clear
therapeutic strategy despite the new technological
advances. The disyuntive persist between
sinus rhythm control vs ventricular rate
control. The main studies like AFFIRM, RACE,
PIAF, PAF2 and STAF have not shown a definitive
strategy treatment. Recently, several subgroups
have been stablished and variables like
life quality and functional state have been included.
New therapeutic strategies have resulted.
Heart rate control is recommendable for
asymptomatic 65 years old patients and older,
whereas rhythm control is better for patients
with severe symptoms.
REFERENCES
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CRIJNS HJ: Rate versus rhythm control in patients with atrial fibrillation: What the trials really say. Drugs 2005; 65(12): 1651-67.
BLOOM HL: Concise review of atrial fibrillation: Treatment update considerations in light of AFFIRM and RACE. Clin Cardiol 2004; 27(9): 495-500.
CURTIS A, GERSH B, ET AL: Clinical factors that influence response to treatment strategies in atrial fibrillation: The atrial fibrillation follow-up investigation of rhythm management (AFFIRM) study. Am Heart J 2005; 149: 645-9.
HAGENS V, CRIJNS H, VAN VELDHUISEN D, VAN DEN BERG M, ET AL: Rate control versus rhythm control for patients with persistent atrial fibrillation with mild to moderate heart failure: Results from the rate control versus electrical cardioversion (RACE) study. Am Heart J 2005; 149: 1106-11.
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CHUNG M, SHEMANSKI L, SHERMAN D, ET AL: Functional status in rate– versus rhythm-control strategies for atrial fibrillation. JACC 2005; 46(10): 1891-9.