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Key Clinical Message  We have presented a case of advanced  HF , in which newly developed  AF  hastened the timing of the implantation of mechanical support. Newly developed  AF  in advanced  HF  may be intractable by medical therapies and could be a key event that determines the timing of mechanical support.

clinical case reports

Newly developed atrial fibrillation progresses to a more severe  INTERMACS  score in a patient with advanced heart failure due to dilated cardiomyopathy