Rate control in permanent atrial fibrillation

Extract

• If a decision is made to adopt rate control as the form of treatment for atrial fibrillation (AF), it should be explained to the patient that the body usually becomes very quickly accustomed to permanent AF after the heart rate has been optimized (”AF with adequate rate control”). This information will also improve treatment compliance.
• In elderly patients (> 65 years) with mild symptoms (EHRA 1–2), the prognosis during well-implemented rate control is equally good and the average quality of life on an equal level, as compared to those reached when aiming at rhythm control, where the goal is the restoration of sinus rhythm with repeated cardioversions and antiarrhythmic medication Rhythm control by repeated cardioversion in elderly patients does not improve survival or quality of life compared to rate control.A.

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AF, Acebutolol, Adrenergic beta-Antagonists, Amiodarone, Anti-Arrhythmia Agents, Arrhythmia, Atrial fibrillation, Beta-blockers, Bisoprolol, Calcium-channel blockers, Cardiology, Carvedilol, Catheter ablation, Digoxin, Diltiazem, Heart rate, I48*, Metoprolol, Pacemaker, Pindolol, Pulse rate, Rate control, Ventricular rate, Verapamil