Atrial fibrillation and heart failure: Rate versus rhythm control

Research output: Chapter in Book/Report/Conference proceedingChapter


Atrial fibrillation and heart failure are commonly coexisting conditions with important pathophysiologic interactions impacting patient management. Treatment of atrial fibrillation with impaired ventricular function is focused towards preventing adverse hemodynamic effects that may result in more symptoms and decreased exercise tolerance. While rate control using medications or atrioventricular nodal ablation combined with pacing is the primary emphasis of management, rhythm control using pharmacologic or pulmonary vein isolation remains a feasible alternative strategy for some patients. The prevalence, mechanisms, and management strategies of atrial fibrillation and heart failure are reviewed in this chapter.

Original languageEnglish (US)
Title of host publicationTranslational Approach to Heart Failure
PublisherSpringer New York
Number of pages16
ISBN (Electronic)9781461473459
ISBN (Print)9781461473442
StatePublished - Jan 1 2013

ASJC Scopus subject areas

  • General Medicine


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