Pharmacologic approaches to rhythm versus rate control in atrial fibrillation—where are we now?

Wyse, D. George

doi:10.1016/j.ijcard.2005.12.001

Cited by 10 publications

(9 citation statements)

References 68 publications

(59 reference statements)

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“…Higher percentage of normal sinus rhythm in the bisoprolol group at 18 months could attribute to the lower HR in this group, because HR in AF patients reduces after defibrillation. 29 In our study, the onsets of AF in HF patients before admission were similar in the 2 β-blocker groups, but patients with paroxysmal AF or persistent AF could easily be converted to sinus rhythm Figure 2. Kaplan -Meier curves of (A) survival of patients with AF in the 2 treatment groups (P=0.95) and (B) cardiac event-free patients with AF in the 2 treatment groups (P=0.06).…”

Section: Konishi M Et Almentioning

confidence: 48%

Comparative Effects of Carvedilol vs Bisoprolol for Severe Congestive Heart Failure - Special Reference to Atrial Fibrillation -

Konishi

Haraguchi

Kimura

et al. 2010

Circ J

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Section: Konishi M Et Almentioning

confidence: 48%

Comparative Effects of Carvedilol vs Bisoprolol for Severe Congestive Heart Failure - Special Reference to Atrial Fibrillation -

Konishi

Haraguchi

Kimura

et al. 2010

Circ J

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“…Disagreement exists regarding the clinical and survival benefits of rhythm control versus heart rate control for management of AF in human patients 14,15 . However, current management guidelines advocate an individualized approach with rhythm control favored as the initial treatment in highly symptomatic patients, younger patients, and patients with concomitant congestive heart failure (CHF) 10,16,17 . Early findings from the PABA CHF clinical trial comparing permanent rhythm control (pulmonary vein isolation) with perfect heart rate control (AV node ablation and cardiac resynchronization therapy) indicate that for humans with both AF and CHF, rhythm control provides an improvement in ejection fraction and quality of life 18 …”

Section: Discussionmentioning

confidence: 99%

Chronicity of Atrial Fibrillation Affects Duration of Sinus Rhythm after Transthoracic Cardioversion of Dogs with Naturally Occurring Atrial Fibrillation

Bright

zumBrunnen

2008

Veterinary Internal Medicne

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Background: Atrial fibrillation (AF) in dogs can be managed by electrical cardioversion to sinus rhythm, but early recurrence of AF occurs in some dogs. In humans, the commonly evaluated clinical variables for prediction of early relapse of AF are left atrial size and duration of AF. It is unclear whether the duration of AF affects maintenance of sinus rhythm after cardioversion in dogs with spontaneous AF.Hypothesis: That duration of sinus rhythm after cardioversion is related to the chronicity of AF. Animals: Forty-one consecutive dogs that had undergone successful transthoracic cardioversion for spontaneous AF were evaluated.Methods: The relationship between the duration of documented AF and the duration of sinus rhythm after cardioversion was statistically evaluated using data obtained retrospectively. The effects of structural heart disease and pretreatment with amiodarone were also evaluated.Results: The presence of structural heart disease and the duration of documented AF had significant effects on maintenance of sinus rhythm after cardioversion (P o.001 and P 5 .022, respectively). The duration of documented AF was inversely related to the duration of sinus rhythm (P 5 .022) in dogs with and without structural heart disease.Conclusions and Clinical Importance: Estimates of duration of sinus rhythm based on the duration of documented AF are provided for dogs with and without heart disease allowing prediction of risk for early AF relapse.

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“…Bridging the cellular dysfunction form the laboratory to clinical relevance to bedside is obvious (97). Understanding the basics of echocardiography and what it has to offer in a variety of critical care scenarios improves the clarity that may cloud the physiologic picture before its use (98,99).…”

Section: Effect and Importance Of Echocardiographymentioning

confidence: 99%

“…TEE is a useful tool to diagnose a potential thrombus in the left atrium and appendage (100,101). There is proven efficacy of TEE-guided cardioversion of patients with atrial fibrillation at 6-mo follow-up, particularly in patients when this rhythm disturbances is noted for lasting Ͼ48 hrs (89,98,99).…”

Section: Effect and Importance Of Echocardiographymentioning

confidence: 99%

Importance of transesophageal echocardiography in the critically ill and injured patient

Porembka

2007

Critical Care Medicine

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Echocardiography, particularly transesophageal echocardiography (TEE), is a vital diagnostic and monitoring imaging modality for the intensivist. The field of echocardiography spans different venues and pathologies, ranging from surface transthoracic echocardiography and portable hand-held echocardiography, to contrast echocardiography, stress echocardiography, and TEE, among others. Numerous investigations have proven the worth of echocardiography, especially TEE, in the critically ill and injured patient, changing lives with the identification of obvious and subtle cardiothoracic diseases. Because this powerful imaging tool is immediately available and portable, crucial delays in diagnosis are not commonplace; rather than echocardiography, TEE, specifically, should be (and is in some institutions) the standard of care and management in assisting the intensivist in diagnosis of a variety of maladies. The effect of TEE technology is quite formidable, and numerous investigations have borne this out. The therapeutic effect of TEE ranges from 10% to 69%, with the majority of investigations falling into the 60% to 65% range. The diagnostic yield of TEE is far greater, approaching 78%. This article will detail the importance of echocardiography, its efficacy, and its high-yield imaging capability, particularly when compared with other imaging modalities, even transthoracic echocardiography.

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Pharmacologic approaches to rhythm versus rate control in atrial fibrillation—where are we now?

Cited by 10 publications

References 68 publications

Comparative Effects of Carvedilol vs Bisoprolol for Severe Congestive Heart Failure - Special Reference to Atrial Fibrillation -

Comparative Effects of Carvedilol vs Bisoprolol for Severe Congestive Heart Failure - Special Reference to Atrial Fibrillation -

Chronicity of Atrial Fibrillation Affects Duration of Sinus Rhythm after Transthoracic Cardioversion of Dogs with Naturally Occurring Atrial Fibrillation

Importance of transesophageal echocardiography in the critically ill and injured patient

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