Congestive heart failure and afib

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Congestive Heart Failure After Atrial Fibrillation Ablation

congestive heart failure and afib

Jul 25, Learn how heart failure and atrial fibrillation (AFib) are related and what raises your odds of having both.

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Atrial fibrillation AF and congestive heart failure CHF are common conditions which predispose each other, share risk factors, and are associated with morbidity and mortality. They share common pathophysiology, including structural and electrical remodeling, intracellular calcium dysregulation, and neuroendocrine mechanisms, and also have genetic basis. Despite better survival in patients with sinus rhythm than those with AF, rhythm control has not been found to be superior to rate control. The role of non-antiarrhythimc therapy is also being explored. Catheter ablation and device-based therapy with pacemaker and cardiac resynchronization therapy may also benefit patients with AF and CHF. The authors report no conflicts of interest for the published content. Manuscript received February 13, , final version accepted March 3,

Emelia J. Benjamin, M. Atrial fibrillation and congestive heart failure are morbid conditions that share common risk factors and frequently coexist. Each condition predisposes to the other, and the concomitant presence of the two identifies individuals at increased risk for mortality. Recent data have emerged which help elucidate the complex genetic and non-genetic pathophysiological mechanisms that contribute to the development of atrial fibrillation in individuals with congestive heart failure.

Atrial fibrillation (AF) and congestive heart failure (CHF) are common conditions which predispose each other, share risk factors, and are associated with.
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A year-old man with history of persistent atrial fibrillation, hyperlipidemia, obstructive sleep apnea and hypothyroidism presented to our outpatient clinic with recurrent lower extremity edema 14 months after atrial fibrillation ablation. One week following ablation he had developed left shoulder pain and shortness of breath. Echocardiogram revealed pericardial and pleural effusions and he was treated with colchicine, celecoxib and furosemide. Several months later he developed leg and abdominal swelling and was started on prednisone 40 mg twice daily tapered over two months, but symptoms persisted. Medications at the time of the visit were notable for rivaroxaban, furosemide and armour thyroid. Physical examination revealed jugular venous distension with Kussmaul's sign, regular cardiac rate and rhythm with a pericardial knock, a distended abdomen and moderate edema of the bilateral lower extremities.

Preventing four modifiable risk factors helps patients with atrial fibrillation reduce risk for heart failure. Once patients with atrial fibrillation develop heart failure, their risk of death significantly increases. For this reason, researchers explored how cardiovascular risk factors we can control such as high blood pressure and smoking impact risk for heart failure. The goal was to see whether a healthy lifestyle helps patients with atrial fibrillation significantly reduce their risk for developing heart failure. Participants were 45 years or older and free of heart disease at the start of the study. During a year follow-up period, a total of 1, women developed atrial fibrillation. As previous research has shown, women with atrial fibrillation had a nine-fold increase in risk for heart failure.

The real danger is the increased risk for stroke. Sometimes the cause of AFib is unknown. AFib is also the most common complication after heart surgery. View an animation of atrial fibrillation. Usually, the most serious risk from AFib is that it can lead to other medical problems, including:.



Why Atrial Fibrillation (AF or AFib) Matters

Dr. Shellee Nolan

Atrial Fibrillation in Congestive Heart Failure

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Atrial Fibrillation and Congestive Heart Failure

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2 thoughts on “Congestive heart failure and afib

  1. Atrial fibrillation and congestive heart failure are morbid conditions that share common risk factors and frequently coexist. Each condition predisposes to the.

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