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Recent News and Articles on the Keywords: atrial fibrillation + rate control + atrial  Related to the article below (Last Update: 7/8/2008)

Cardiologists Spot Best Treatment for a Deadly Duo
Forbes, NY - Jun 18, 2008
... heartbeat called atrial fibrillation can form a deadly combination. Now, an international study shows that a less onerous strategy called "rate control" ...
Rhythm Control versus Rate Control for Atrial Fibrillation New England Journal of Medicine (subscription)
AF-CHF: Even in heart failure, rate-control strategy best for ... TheHeart.Org
Rate not rhythm key to AF control 6minutes
all 17 news articles »
Rate-Control Preferred in the Management of Atrial Fibrillation in ...
DG News - Jun 20, 2008
NEW YORK -- June 20, 2008 -- Rate-control strategy should be considered the primary approach for the management of atrial fibrillation in patients with ...
AF-CHF: Even in Heart Failure, Rate-Control Strategy Best for ... Medscape (subscription)
all 2 news articles »
The Montreal Heart Institute presents findings on congestive heart ...
PhysOrg.com, VA - Jun 19, 2008
In conclusion, the results of this trial suggest that rate-control, should be considered the primary approach for patients with atrial fibrillation and ...
Rhythm control gives no improvement in AF outcomes Pulse
all 7 news articles »

Insider Medicine
Rhythm Control and Rate Control for Heart Failure (Interview with ...
Insider Medicine, Canada - Jun 18, 2008
(June 18, 2008 - Insidermedicine) For those with congestive heart failure, managing atrial fibrillation by maintaining a normal heart rhythm is no better ...
Heart Rate Strategies Just as Beneficial for Patients with ... Insider Medicine
all 2 news articles »
Rhythm Control in Atrial Fibrillation ? One Setback after Another
New England Journal of Medicine (subscription), MA - Jun 18, 2008
by Roy, D. by K?ber, L. Atrial fibrillation, the most common sustained arrhythmia observed in hospitalized patients, is associated with substantial ...
Sudden Sensorineural Hearing Loss May Be a Warning of Stroke ...
Medscape (subscription) - Jul 7, 2008
... about extent of hearing loss and hearing recovery, tobacco use, body mass index, and medical history of cardiovascular disease or atrial fibrillation. ...
Impact of left atrial volume reduction concomitant with atrial ...
The Journal of Thoracic and Cardiovascular Surgery - Jun 16, 2008
Methods: Seventy-four patients with atrial fibrillation and left atrial enlargement (diameter 60 mm) underwent the Maze procedure in association with mitral ...
Control and Regulation of Transport Phenomena in the Cardiac ...
Business Wire (press release), CA - Jul 1, 2008
Atrial-Selective Sodium Channel Block as a Strategy for Suppression of Atrial Fibrillation: Alexander Burashnikov, Jos? M. Di Diego, Andrew C. Zygmunt, ...
Cardima, Inc. Receives Chinese State Food and Drug Administration ...
CNNMoney.com - Jun 30, 2008
... namely, the EP Ablation System and the Surgical Ablation System, both designed to treat atrial fibrillation ("AF"). Other Cardima products pending China ...OTC:CADM
On The Pulse - 27th June
OnMedica, UK - Jun 27, 2008
An RCT in the NEJM finds that aggressive therapy to prevent and correct atrial fibrillation produces no benefit over careful control of ventricular rate. ...
Source: Google News

A comparison of rate control and rhythm control in patients with atrial -
DG Wyse, AL Waldo, JP DiMarco - N Engl J Med, 2002 - rcpe.ac.uk
... TITLE A comparison of rate control and rhythm control in patients with atrial
fibrillation ... KEYWORDS Atrial fibrillation, rate control, rhythm control ...

… of Rate Control and Rhythm Control in Patients with Recurrent Persistent Atrial Fibrillation -
IC Van Gelder, VE Hagens, HA Bosker, JH Kingma, O … - New England Journal of Medicine, 2002 - content.nejm.org
... Atrial Fibrillation ? Rate versus Rhythm Control K?hlkamp V., Seipel L., Healy EC,
Bhaskarabhatla K., Manning WJ, Wyse DG, Van Gelder IC, Crijns H. JGM ...

Rhythm or rate control in atrial fibrillation?Pharmacological Intervention in Atrial Fibrillation ( … -
SH Hohnloser, KH Kuck, J Lilienthal - The Lancet, 2000 - Elsevier
... Articles. Rhythm or rate control in atrial fibrillation?Pharmacological
Intervention in Atrial Fibrillation (PIAF): a randomised trial. ...

[CITATION] … Investigators. A comparison of rate control and rhythm control in patients with atrial fibrillation
DG Wyse, AL Waldo, JP DiMarco, MJ Domanski, Y … - N Engl J Med, 2002

… rhythm-control in persistent atrial fibrillation The Strategies of Treatment of Atrial Fibrillation … -
J Carlsson, S Miketic, J Windeler, A Cuneo, S Haun … - Journal of the American College of Cardiology, 2003 - Am Coll Cardio Found
... Randomized trial of rate-control versus rhythm-control in persistent atrial
fibrillation. ... Therapy of atrial fibrillation: rhythm control versus rate control. ...

Ventricular rate control in chronic atrial fibrillation during daily activity and programmed … -
R Farshi, D Kistner, JSM Sarma, JA Longmate, BN … - Journal of the American College of Cardiology, 1999 - Am Coll Cardio Found
... that this beta-blocker might be best administered twice daily rather than once daily
when used for the purposes of rate control in atrial fibrillation. ...

Conversion of atrial fibrillation to sinus rhythm and rate control by digoxin in comparison to … -
L Jordaens, J Trouerbach, P Calle, R Tavernier, E … - European Heart Journal, 1997 - Eur Soc Cardiology
... 1997 The European Society of Cardiology. Conversion of atrial fibrillation to sinus
rhythm and rate control by digoxin in comparison to placebo. ...

[CITATION] … atrial fibrillation study group. A comparison of rate control and rhythm control in patients with …
IC Van Gelder, VE Hagens, HA Bosker? - N Engl J Med, 2002

Atrial fibrillation: maintenance of sinus rhythm versus rate control. -
SM Sopher, AJ Camm - Am J Cardiol, 1996 - ncbi.nlm.nih.gov
Am J Cardiol. 1996 Jan 25;77(3):24A-37A. Click here to read Atrial fibrillation:
maintenance of sinus rhythm versus rate control. Sopher SM, Camm AJ. ...

… of Atrioventricular Conduction to Control the Ventricular Rate during Atrial Fibrillation -
BD Williamson, KC Man, E Daoud, M Niebauer, SA … - New England Journal of Medicine, 1994 - content.nejm.org
... Eur Heart J 27: 1979-2030 [Full Text]; Kwaku, KF (2006). Cell Therapy for Rate Control
in Atrial Fibrillation: A New Approach to an Old Problem. ...

Source: Google Scholar
 
 

ACC/AHA/ESC 2006 Guidelines - Pharmacological rate control during atrial fibrillation

 
 
For patients with symptomatic atrial fibrillation lasting many weeks, initial therapy may be anticoagulation and rate control while the long-term goal is to restore sinus rhythm.
Rate control may be reasonable initial therapy in older patients with persistent atrial fibrillation who have hypertension or heart disease. For younger individuals, especially those with paroxysmal lone atrial fibrillation, rhythm control may be a better initial approach.

Pharmacological rate control during atrial fibrillation: recommendations


Class I

1) Measurement of the heart rate at rest and control of the rate using pharmacological agents ( either a beta blocker or nondihydropyridine calcium channel antagonist, in most cases ) are recommended for patients with persistent or permanent atrial fibrillation. ( Level of Evidence: B )

2) In the absence of preexcitation, intravenous administration of beta blockers ( Esmolol, Metoprolol, or Propranolol ) or nondihydropyridine calcium channel antagonists ( Verapamil, Diltiazem ) is recommended to slow the ventricular response to atrial fibrillation in the acute setting, exercising caution in patients with hypotension or heart failure. ( Level of Evidence: B )

3) Intravenous administration of Digoxin or Amiodarone is recommended to control the heart rate in patients with atrial fibrillation and heart failure who do not have an accessory pathway. ( Level of Evidence: B )

4) In patients who experience symptoms related to atrial fibrillation during activity, the adequacy of heart rate control should be assessed during exercise, adjusting pharmacological treatment as necessary to keep the rate in the physiological range. ( Level of Evidence: C )

5) Digoxin is effective following oral administration to control the heart rate at rest in patients with atrial fibrillation and is indicated for patients with heart failure, left ventricular dysfunction, or for sedentary individuals. ( Level of Evidence: C )


Class III

1) Digitalis should not be used as the sole agent to control the rate of ventricular response in patients with paroxysmal atrial fibrillation. ( Level of Evidence: B )

2) Catheter ablation of the atrioventricular node should not be attempted without a prior trial of medication to control the ventricular rate in patients with atrial fibrillation. ( Level of Evidence: C )

3) In patients with decompensated heart failure and atrial fibrillation, intravenous administration of a nondihydropyridine calcium channel antagonist may exacerbate hemodynamic compromise and is not recommended. ( Level of Evidence: C )

4) Intravenous administration of Digitalis glycosides or nondihydropyridine calcium channel antagonists to patients with AF and a preexcitation syndrome may paradoxically accelerate the ventricular response and is not recommended. ( Level of Evidence: C )


Classification of recommendations

Class I: Conditions for which there is evidence and/or general agreement that a given procedure/therapy is beneficial, useful, and effective.

Class III: Conditions for which there is evidence and/or general agreement that a procedure/therapy is not useful or effective and in some cases may be harmful.

Source: Circulation, 2006
 
 
 
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