Prognosis of Atrial Fibrillation in Congestive Heart Failure

作者：Johan R. Folkeringa, Harry J.G.M. Crijns, Dirk J van Veldhuisen · 发表于：Circulation · 年份：2004 · DOI：10.1161/01.cir.0000111134.23909.db · 被引用次数：43 · 研究领域：Atrial Fibrillation Management and Outcomes、Cardiac pacing and defibrillation studies、Cardiovascular Function and Risk Factors

In a recent issue of Circulation, Wang et al 1 report that incident atrial fibrillation in patients with congestive heart failure carries a poor prognosis. They rightfully argue that early intervention to prevent atrial fibrillation in heart failure patients and to prevent congestive heart failure in patients with atrial fibrillation may importantly improve prognosis in patients suffering from one of these conditions. Previously, in a population with advanced heart failure, we did not find a decreased survival associated with incident atrial fibrillation. 2 This suggests that if patients suffer from advanced heart failure without previous atrial fibrillation, strategies aiming at prevention of the arrhythmia may not benefit any survival.