Patients with concomitant atrial fibrillation and heart failing face worse symptoms.
An article published ahead-of-print in the European Center Journal explores evidence-structured treatment in comorbid AF and HF. These specialists recommend the CAN-TREAT HFrEF+AF algorithm for newly diagnosed patients with comorbid HF with reduced ejection fraction and AF. This algorithm information a cascade of treatments: · Cardioversion if hemodynamically compromised · Anticoagulation unless contraindicated · Fluid stability normalization with diuretics to regulate symptoms and signals of HF · Target initial heartrate is significantly less than 110 beats per minute with stricter control if symptoms persist · RAAS medicines · Early rhythm control · Advanced heart failure therapies · Treatment of additional cardiovascular disease Anticoagulation is essential in AF patients because they are at great threat of thrombotic stroke.Oops, failed again! That may teach them not to expect anything of me. The greatest obstacle to change is failing to start to see the problem.Most folks think we have one set of problems when in reality we have a totally different problem.It’s like we are stabbing ourselves in the leg, but the only problem we are able to see is our leg is bleeding. Once we see the knife inside our hand, a complete new reality sets in – and a complete new selection of choices becomes available. So, stop. If you gave your unconscious brain a chance to speak the truth right now, what would it not say? A genuine answer is the beginning of the hero’s journey toward enlightenment.About the writer:Watch the free video The AHA! Process: A FINISH to Self-Sabotage and find out the lost keys to personal transformation and emotional well-being which have been suppressed by mainstream mental wellness for decades.