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爱思唯尔期刊精选全文
标题：心衰病人的心房颤动：系统回顾
American Journal of Medicine, 2010, Volume: 123, Issue: 3
作者：Prakash C. Deedwania MD, and Joel A. Lardizabal MD
内容预览：
Abstract
Chronic heart failure and atrial fibrillation are 2 major disorders that are closely linked. Their coexistence is associated with adverse prognosis. Both share several common predisposing conditions, but their interaction involves complex ultrastructural, electrophysiologic, and neurohormonal processes that go beyond mere sharing of mutual risk factors. Rate control approach remains the standard therapy for atrial fibrillation in heart failure because current strategies at rhythm control have so far failed to positively impact mortality and morbidity. This is largely because of the shortcomings of current pharmacologic anti-arrhythmic agents. Surgical and catheter-based therapies are promising, but long-term data are lacking. The role of non-anti-arrhythmic therapeutic agents...
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