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AF-CHF
Atrial Fibrillation and Congestive Heart Failure
Ongoing trial
Author(s)
AF-CHF Trial Investigators
Title(s)
Rationale and design of a study assessing treatment strategies of atrial fibrillation in patients with heart failure: The Atrial Fibrillation and Congestive Heart Failure (AF-CHF) trial
Reference(s)
Am Heart J 2002;144:597–607
Disease
Atrial fibrillation, heart failure
Purpose
To compare the effects of a rhythm-control treatment strategy to a rate-control strategy on cardiovascular mortality in patients with atrial fibrillation and congestive heart failure
Study design
Randomised, open
Follow-up
Aim 2 years
Patients
Aim 1450 patients, aged ≥ 18 years, with heart failure NYHA class II–IV and left ventricular ejection fraction ≤ 35%, or heart failure NYHA I and prior hospitalisation for congestive heart failure or left ventricular ejection fraction ≤ 25%, and one episode of atrial fibrillation ≥ 6 h within last 6 months or one episode ≥ 10 min within last 6 months and prior electrical cardioversion
Treatment regimen
Rhythm control: antiarrhythmic drugs, nonpharmacological treatment and cardioversion as needed Rate control: beta-blockers, digoxin, or both, atrioventricular nodal ablation and pacemaker implantation as needed
Results
Not yet available
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