Neuberger Hans-Ruprecht, Mewis Christian, van Veldhuisen Dirk J, Schotten Ulrich, van Gelder Isabelle C, Allessie Maurits A, Böhm Michael
Klinik für Innere Medizin III, Kardiologie, Angiologie, und Internistische Intensivmedizin;, Universitätsklinikum des Saarlandes, D-66421 Homburg/Saar, Germany.
Eur Heart J. 2007 Nov;28(21):2568-77. doi: 10.1093/eurheartj/ehm341. Epub 2007 Sep 13.
Atrial fibrillation (AF) and chronic heart failure (CHF) are two major and even growing cardiovascular conditions that often coexist. However, few data are available to guide treatment of AF in patients with CHF. This review summarizes current literature concerning the following topics: (i) prognostic relevance of AF in patients with CHF, (ii) relevance and strategies of rhythm and rate control in patients with AF and CHF, and (iii) options for prevention of AF in patients with ventricular dysfunction. In conclusion, AF is associated with increased mortality in CHF patients. However, it is not clear whether there is a causal relationship. Emerging strategies to prevent the occurrence of AF are promising tools that might improve quality of life and survival in patients with CHF.
心房颤动（AF）和慢性心力衰竭（CHF）是两种主要且日益常见的心血管疾病，它们常常同时存在。然而，用于指导CHF患者AF治疗的数据却很少。本综述总结了当前关于以下主题的文献：（i）AF在CHF患者中的预后相关性；（ii）AF合并CHF患者节律控制和心率控制的相关性及策略；（iii）心室功能不全患者预防AF的选择。总之，AF与CHF患者死亡率增加相关。然而，因果关系尚不清楚。预防AF发生的新策略是有前景的工具，可能会改善CHF患者的生活质量和生存率。
