Management of Arrhythmias in Heart Failure
Heart failure patients are predisposed to develop arrhythmias. Supraventricular arrhythmias can exacerbate the heart failure symptoms by decreasing the effective cardiac output and their control require pharmacological, electrical, or catheter-based intervention. In the setting of atrial flutter or...
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doaj-d6350600f82b4552b4090fbcee45f2032020-11-24T23:47:26ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252017-02-0141310.3390/jcdd4010003jcdd4010003Management of Arrhythmias in Heart FailureDaniele Masarone0Giuseppe Limongelli1Marta Rubino2Fabio Valente3Rossella Vastarella4Ernesto Ammendola5Rita Gravino6Marina Verrengia7Gemma Salerno8Giuseppe Pacileo9Cardiologia SUN—Heart Failure Unit, Department of Cardiothoracic Sciences, Second University of Naples, via L. Bianchi, Naples 80100, ItalyCardiologia SUN—Heart Failure Unit, Department of Cardiothoracic Sciences, Second University of Naples, via L. Bianchi, Naples 80100, ItalyCardiologia SUN—Heart Failure Unit, Department of Cardiothoracic Sciences, Second University of Naples, via L. Bianchi, Naples 80100, ItalyCardiologia SUN—Heart Failure Unit, Department of Cardiothoracic Sciences, Second University of Naples, via L. Bianchi, Naples 80100, ItalyCardiologia SUN—Heart Failure Unit, Department of Cardiothoracic Sciences, Second University of Naples, via L. Bianchi, Naples 80100, ItalyCardiologia SUN—Heart Failure Unit, Department of Cardiothoracic Sciences, Second University of Naples, via L. Bianchi, Naples 80100, ItalyCardiologia SUN—Heart Failure Unit, Department of Cardiothoracic Sciences, Second University of Naples, via L. Bianchi, Naples 80100, ItalyCardiologia SUN—Heart Failure Unit, Department of Cardiothoracic Sciences, Second University of Naples, via L. Bianchi, Naples 80100, ItalyCardiologia SUN—Heart Failure Unit, Department of Cardiothoracic Sciences, Second University of Naples, via L. Bianchi, Naples 80100, ItalyCardiologia SUN—Heart Failure Unit, Department of Cardiothoracic Sciences, Second University of Naples, via L. Bianchi, Naples 80100, ItalyHeart failure patients are predisposed to develop arrhythmias. Supraventricular arrhythmias can exacerbate the heart failure symptoms by decreasing the effective cardiac output and their control require pharmacological, electrical, or catheter-based intervention. In the setting of atrial flutter or atrial fibrillation, anticoagulation becomes paramount to prevent systemic or cerebral embolism. Patients with heart failure are also prone to develop ventricular arrhythmias that can present a challenge to the managing clinician. The management strategy depends on the type of arrhythmia, the underlying structural heart disease, the severity of heart failure, and the range from optimization of heart failure therapy to catheter ablation. Patients with heart failure, irrespective of ejection fraction are at high risk for developing sudden cardiac death, however risk stratification is a clinical challenge and requires a multiparametric evaluation for identification of patients who should undergo implantation of a cardioverter defibrillator. Finally, patients with heart failure can also develop symptomatic bradycardia, caused by sinus node dysfunction or atrio-ventricular block. The treatment of bradycardia in these patients with pacing is usually straightforward but needs some specific issue.http://www.mdpi.com/2308-3425/4/1/3heart failuretachyarrhythmiasbradyarrhythmiassudden cardiac death |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Daniele Masarone Giuseppe Limongelli Marta Rubino Fabio Valente Rossella Vastarella Ernesto Ammendola Rita Gravino Marina Verrengia Gemma Salerno Giuseppe Pacileo |
spellingShingle |
Daniele Masarone Giuseppe Limongelli Marta Rubino Fabio Valente Rossella Vastarella Ernesto Ammendola Rita Gravino Marina Verrengia Gemma Salerno Giuseppe Pacileo Management of Arrhythmias in Heart Failure Journal of Cardiovascular Development and Disease heart failure tachyarrhythmias bradyarrhythmias sudden cardiac death |
author_facet |
Daniele Masarone Giuseppe Limongelli Marta Rubino Fabio Valente Rossella Vastarella Ernesto Ammendola Rita Gravino Marina Verrengia Gemma Salerno Giuseppe Pacileo |
author_sort |
Daniele Masarone |
title |
Management of Arrhythmias in Heart Failure |
title_short |
Management of Arrhythmias in Heart Failure |
title_full |
Management of Arrhythmias in Heart Failure |
title_fullStr |
Management of Arrhythmias in Heart Failure |
title_full_unstemmed |
Management of Arrhythmias in Heart Failure |
title_sort |
management of arrhythmias in heart failure |
publisher |
MDPI AG |
series |
Journal of Cardiovascular Development and Disease |
issn |
2308-3425 |
publishDate |
2017-02-01 |
description |
Heart failure patients are predisposed to develop arrhythmias. Supraventricular arrhythmias can exacerbate the heart failure symptoms by decreasing the effective cardiac output and their control require pharmacological, electrical, or catheter-based intervention. In the setting of atrial flutter or atrial fibrillation, anticoagulation becomes paramount to prevent systemic or cerebral embolism. Patients with heart failure are also prone to develop ventricular arrhythmias that can present a challenge to the managing clinician. The management strategy depends on the type of arrhythmia, the underlying structural heart disease, the severity of heart failure, and the range from optimization of heart failure therapy to catheter ablation. Patients with heart failure, irrespective of ejection fraction are at high risk for developing sudden cardiac death, however risk stratification is a clinical challenge and requires a multiparametric evaluation for identification of patients who should undergo implantation of a cardioverter defibrillator. Finally, patients with heart failure can also develop symptomatic bradycardia, caused by sinus node dysfunction or atrio-ventricular block. The treatment of bradycardia in these patients with pacing is usually straightforward but needs some specific issue. |
topic |
heart failure tachyarrhythmias bradyarrhythmias sudden cardiac death |
url |
http://www.mdpi.com/2308-3425/4/1/3 |
work_keys_str_mv |
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