Vorhofflimmern – syndromaler Phänotyp bei HFpEF oder primäre Erkrankung?

Translated title of the contribution: Atrial fibrillation—Syndromic phenotype in HFpEF or primary disease?

Matthias Mezger*, Thomas Stiermaier, Jan Christian Reil, Roland Richard Tilz, Evgeny Lyan, Karl Heinz Kuck, Ingo Eitel

*Corresponding author for this work

Abstract

Atrial fibrillation and heart failure with preserved left ventricular (LV) ejection fraction (HFpEF) are of high importance in cardiology due to the increasing number of cases. Both diseases can mutually affect each other and important cardiovascular risk factors, e.g. arterial hypertension, diabetes mellitus, obesity and chronic renal insufficiency can be observed with increasing frequency. Currently proven treatment concepts for patients with heart failure and reduced ejection fraction (HFrEF) do not appear to have a comparable prognostic or symptomatic benefit for patients with HFpEF. In addition, there are indications that de novo manifestation of atrial fibrillation in HFpEF patients has been linked to reduced survival. Also, heart and kidney function are negatively affected by atrial fibrillation. Retrospective analyses of patients with HFpEF and atrial fibrillation who had been treated by pulmonary vein isolation could show that interventional treatment of the atrial fibrillation led to an improvement in the New York Heart Association (NYHA) stage and diastolic function. Currently running prospective randomized clinical trials, such as the AMPERE study including patients with HFpEF and atrial fibrillation undergoing pulmonary vein isolation, will hopefully provide reliable prospective randomized data and possibly show an improved symptom control and perhaps also prognostically relevant treatment for HFpEF patients with atrial fibrillation.

Translated title of the contributionAtrial fibrillation—Syndromic phenotype in HFpEF or primary disease?
Original languageGerman
JournalInternist
Volume62
Issue number11
Pages (from-to)1174-1179
Number of pages6
ISSN0020-9554
DOIs
Publication statusPublished - 11.2021

Research Areas and Centers

  • Centers: Cardiological Center Luebeck (UHZL)

DFG Research Classification Scheme

  • 205-12 Cardiology, Angiology

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