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Management of Patients with Atrial Fibrillation : Specific Considerations for the Old Age
Joint Authors
Duru, Firat
Haegeli, Laurent M.
Source
Cardiology Research and Practice
Issue
Vol. 2011, Issue 2011 (31 Dec. 2011), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2011-08-11
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Atrial fibrillation (AF) is the commonest of all sustained arrhythmias, and most of the patients seeking medical therapy are in the elderly age group.
The management of these patients is particularly difficult due to associated comorbidities.
Hypertension, congestive heart failure, left ventricular hypertrophy, and coronary artery disease are often present in the elderly patient population, and therefore, antiarrhythmic drugs often fail due to side effects, proarrhythmia, or poor rhythm control.
Recently, radiofrequency catheter ablation has been widely performed as an efficient therapy for recurrent, drug-refractory AF.
Nevertheless, patients at old age were underrepresented in prior AF ablation trials, and the current guidelines for catheter ablation of AF recommend a noninvasive approach in the elderly patient group due to the lack of clinical data supporting ablation therapy.
However, study results of our group and others are suggesting that catheter ablation is a safe and effective treatment for patients over the age of 65 years with symptomatic, drug-refractory AF, and therefore, patients should not be precluded from catheter ablation only on the basis of age.
This paper discusses the pharmacological (rhythm control, rate control, and anticoagulation) and catheter management of AF in the elderly population.
American Psychological Association (APA)
Haegeli, Laurent M.& Duru, Firat. 2011. Management of Patients with Atrial Fibrillation : Specific Considerations for the Old Age. Cardiology Research and Practice،Vol. 2011, no. 2011, pp.1-8.
https://search.emarefa.net/detail/BIM-503597
Modern Language Association (MLA)
Haegeli, Laurent M.& Duru, Firat. Management of Patients with Atrial Fibrillation : Specific Considerations for the Old Age. Cardiology Research and Practice No. 2011 (2011), pp.1-8.
https://search.emarefa.net/detail/BIM-503597
American Medical Association (AMA)
Haegeli, Laurent M.& Duru, Firat. Management of Patients with Atrial Fibrillation : Specific Considerations for the Old Age. Cardiology Research and Practice. 2011. Vol. 2011, no. 2011, pp.1-8.
https://search.emarefa.net/detail/BIM-503597
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-503597