1. Atrial fibrillation in acute heart failure: A position statement from the Acute Cardiovascular Care Association and European Heart Rhythm Association of the European Society of Cardiology
- Author
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Christian Mueller, Sigrun Halvorsen, Josep Masip, Gulmira Kudaiberdieva, Francisco Marín, Sercan Okutucu, Janine Poess, Isabelle C. Van Gelder, Héctor Bueno, Susanna Price, Bulent Gorenek, Gregory Y.H. Lip, Maddalena Lettino, Tatjana S. Potpara, and Cardiovascular Centre (CVC)
- Subjects
medicine.medical_treatment ,Management of atrial fibrillation ,030204 cardiovascular system & hematology ,Critical Care and Intensive Care Medicine ,0302 clinical medicine ,Sinus rhythm ,030212 general & internal medicine ,anticoagulation ,Societies, Medical ,CATHETER ABLATION ,RISK ,OUTCOMES ,rhythm control ,pacing ,Atrial fibrillation ,General Medicine ,Europe ,2016 ESC GUIDELINES ,Acute Disease ,Cardiology ,cardiovascular system ,SINUS RHYTHM ,Cardiology and Cardiovascular Medicine ,STROKE ,risk of stroke ,medicine.medical_specialty ,Consensus ,acute heart failure ,Rhythm control ,Catheter ablation ,Cardiovascular care ,macromolecular substances ,WARFARIN ,03 medical and health sciences ,bleeding risk ,Internal medicine ,medicine ,MANAGEMENT ,Humans ,cardiovascular diseases ,rate control ,Heart Failure ,DIGOXIN USE ,business.industry ,Cardiac Ablation ,medicine.disease ,PREVENTION ,Heart failure ,business - Abstract
Atrial fibrillation and acute heart failure frequently co-exist and can exacerbate each other. Their combination leads to increased morbidity and mortality. However, the prevalence and significance, as well as the treatment, of atrial fibrillation in acute heart failure are not well studied. Management of atrial fibrillation in acute heart failure requires a multidisciplinary team approach. Treatment of underlying disease(s), identification and treatment of potentially correctable causes and precipitating factors and anticoagulation are crucial. In this article, current evidence on atrial fibrillation in the setting of acute heart failure is summarised. The recommendations on management of atrial fibrillation in the prehospital stage, the treatment of reversible causes, when and how to use rate or rhythm control, maintenance of sinus rhythm, catheter ablation and pacing, anticoagulation, as well as measures on prevention of atrial fibrillation are provided.
- Published
- 2020
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