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Prevalence and Prognostic Significance of Left Ventricular Dysfunction in Patients Presenting Acutely with Atrial Fibrillation
Author(s) -
ChinYu Lin,
C. Edwards,
Guy Armstrong,
Anthony Scott,
Hitesh Patel,
Hamish Hart,
J. Christiansen
Publication year - 2010
Publication title -
clinical medicine insights cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.634
H-Index - 21
ISSN - 1179-5468
DOI - 10.4137/cmc.s4106
Subject(s) - medicine , atrial fibrillation , cardiology , ejection fraction , incidence (geometry) , cardiomyopathy , diastole , heart failure , tachycardia , ventricular tachycardia , blood pressure , physics , optics
The prevalence and prognostic importance of CM occurring as a consequence of AF is poorly defined. This study investigated the incidence of CM in patients with AF, its clinical features and long-term outcomes. We demonstrated that CM is common in patients presenting acutely with newly diagnosed rapid AF, and carries a worse long-term prognosis. Systolic dysfunction was reversible in an important proportion of patients, suggesting a greater prevalence of rate-related CM in AF than has previously been postulated. This underscores the importance of appropriate rhythm management strategies and repeat imaging studies.

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