Management of Arrhythmias in Heart Failure

Journal of Cardiovascular Development and Disease

Giuseppe Limongelli¹  Marina Verrengia¹  Ernesto Ammendola¹  Fabio Valente¹  Rossella Vastarella¹  Daniele Masarone¹  Giuseppe Pacileo¹  Gemma Salerno¹  Marta Rubino¹  Rita Gravino¹ 

[1] Cardiologia SUN—Heart Failure Unit, Department of Cardiothoracic Sciences, Second University of Naples, via L. Bianchi, Naples 80100, Italy;

关键词: heart failure;    tachyarrhythmias;    bradyarrhythmias;    sudden cardiac death;   

DOI  :  10.3390/jcdd4010003

来源: DOAJ

【 摘 要 】

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.

【 授权许可】

Unknown