Articles tagged with Atrial Fibrillation
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Long-term warfarin therapy increases incidence of osteoporotic fractures by 25% in elderly patients, with men at higher risk. Regular exercise and adequate calcium intake can help maintain bone strength.
A recent trial found that a 13-day perioperative course of oral amiodarone significantly reduced the incidence of atrial tachyarrhythmias after cardiac surgery, particularly in older patients and those undergoing valve surgery. This effective therapy also showed promise in reducing hospital stay and associated healthcare costs.
Research using Kaiser Permanente's ATRIA Study cohort found that women with atrial fibrillation have a higher incidence of ischemic stroke when not taking Warfarin therapy. The study indicates being a woman is an independent risk factor for stroke, influencing treatment options.
A new study by Beth Israel Deaconess Medical Center reveals a significant link between heavy drinking and atrial fibrillation. The research, which analyzed data from 16,415 individuals, found that men who drank 35 or more alcoholic beverages per week had a 45% increased risk of developing the hazardous heart rhythm.
The ACTIVE trial program was designed to evaluate the use of clopidogrel plus aspirin in patients with atrial fibrillation. After an interim analysis, it was recommended to discontinue the ACTIVE W trial but continue the ACTIVE A and I trials.
Transcatheter occlusion of PFO and left atrial appendage eliminates key sources of cardiac embolism, preventing strokes. Alternative to blood thinning therapy, this procedure is safe and effective in preventing stroke, with a lower recurrence rate compared to standard treatment.
Resynchronization therapy has shown efficacy in a specific subgroup of patients with heart failure, improving hemodynamic benefits, exercise tolerance, quality of life, and mortality. However, controversies surround its role in narrow QRS, atrial fibrillation, or right ventricular failure, as well as patient selection, due to high costs.
A study of 59 patients with persistent atrial fibrillation found a strong link between Helicobacter pylori infection and elevated C reactive protein levels, suggesting chronic gastritis may predispose to atrial fibrillation. The researchers also noted that H pylori has properties enabling it to evade the immune system.
Researchers at Washington University School of Medicine found that inflammation is the cause of postoperative atrial fibrillation, a rapid and irregular twitching of the upper chambers of the heart. Anti-inflammatory therapy may prevent or lessen this condition by increasing uniformity of electrical impulses in the atria.
The study found that patients with a history of atrial fibrillation and risk factors for stroke should maintain anticoagulation therapy, including warfarin, regardless of sinus rhythm control. The researchers identified seven variables significantly associated with stroke risk, including increasing age and female gender.
Researchers found that ximelagatran was as effective as warfarin in preventing venous thromboembolism, but had a lower risk of bleeding. In another study, ximelagatran also showed promise for stroke prevention in patients with atrial fibrillation, with a lower rate of major and minor bleeding
The SPORTIF V trial found ximelagatran effective in preventing strokes and systemic embolic events, but with higher mortality rates compared to warfarin. The study results suggest a solid clinical benefit for ximelagatran, but more research is needed to safely bring it to market.
A recent study found that obesity is a modifiable risk factor for atrial fibrillation, with obese individuals having a significantly higher risk of developing the condition. The study examined data from the Framingham Heart Study and found that age-adjusted incidence rates for AF increased across BMI categories in men and women.
Researchers clarify that achieving an INR range of 2.0 to 3.0 is key to reducing stroke risk without increasing hemorrhage risk in atrial fibrillation patients. The study suggests that older patients with atrial fibrillation can still benefit from warfarin therapy, despite higher risks of intracranial hemorrhage.
A new study published in Annals of Pharmacotherapy found that beta blockers reduced hospital stays and atrial fibrillation by 59% and 55%, respectively. Early use of beta-blockers also led to significant reductions in patient death, fluid in the lungs, and need for a balloon pump.
Researchers found that masked hypertension, a blood pressure condition where patients have lower office readings but higher 24-hour averages, poses an independent risk for target organ damage. Emotion-cognitive variables play a significant role in how patients appraise the seriousness of their heart attack symptoms.
Researchers found microwave energy successfully ablates AF in most patients, while anxiety and low social support are associated with higher risk of relapse in heart failure patients. Additionally, women with non-ST elevation heart disease undergoing angioplasty face a higher risk of adverse events compared to men.
A study of 43 families of sudden unexplained death victims found an inherited disease in 17 cases, while another pilot study showed yoga and meditation improved endothelial function. Strong social support was linked to lower blood pressure, while adherence to guidelines for angioplasty procedures led to better outcomes.
A new study suggests that using drugs to slow heart rate (rate control) is more cost-effective than restoring normal heart rhythm (rhythm control) for treating atrial fibrillation. The American College of Physicians released a tip sheet with these findings and several other articles on related topics.
Researchers developed a new, less invasive approach to treat atrial fibrillation, a condition affecting over 2 million Americans. The procedure uses bipolar radiofrequency ablation and achieved similar success rates as traditional surgery, but with significantly shorter operative times.
A study of 47,949 participants found that moderate to high levels of alcohol consumption were associated with an increased risk of atrial fibrillation in men. However, no association was found between alcohol consumption and the risk of atrial fibrillation in women.
The EURIDIS trial demonstrated that dronedarone significantly lowers the risk of first recurrence of AF/AFL within the 12-month study period by 21.6% compared to placebo. Dronedarone proved effective for all recurrences of atrial fibrillation or flutter, including those that were symptomatic.
The ADONIS trial found that dronedarone significantly decreased the risk of a first recurrence of atrial fibrillation or flutter within the 12-month study period by 27.5% compared to placebo. The drug also displayed good cardiac tolerability with no cases of torsades de pointes.
The final pooled analysis of SPORTIF III and V1,2 confirms ximelagatran's effectiveness in preventing strokes in patients with atrial fibrillation. Ximelagatran offers a safer alternative to warfarin without coagulation monitoring or dose titration, reducing the risk of stroke by 62%.
A worldwide survey of catheter ablation for atrial fibrillation found varying methods, effectiveness, and complications. The study reported a significant increase in procedures, but also noted major complications such as early deaths, strokes, and tamponade.
Patients with atrial fibrillation are at increased risk for stroke and clotting complications, yet a significant percentage do not receive recommended clot-preventing medications. Asymptomatic patients should instead receive simple rate controlling drugs like beta-blockers, digitalis or verapamil.
A team of researchers has developed an implantable electronic device that can help doctors monitor heart rhythms and prevent atrial fibrillation (AF) attacks. The device uses lower energy shocks to terminate AF episodes, reducing pain and risk of complications.
A study found that regular tuna or broiled/baked fish consumption may reduce the risk of atrial fibrillation (AF) in older adults. AF affects over 2 million Americans, causing fatigue, shortness of breath, and reduced exercise tolerance.
A new study links irregular heart rhythms like atrial fibrillation with sleep disorders, particularly obstructive sleep apnea. Patients with AF are twice as likely to have sleep apnea, highlighting the need for screening and treatment in high-risk patients.
Researchers are exploring innovative treatments for atrial fibrillation, including radio frequency ablation and gene transfer techniques. These methods aim to regulate the heart's irregular rhythm without the dangerous side effects of current medications.
A new analysis of 4,657 patients undergoing coronary artery bypass surgery found that discontinuing beta blockers and ACE inhibitors can lead to abnormal accelerations in heart pumping known as atrial fibrillation. However, these medications also appear to offer protection against the condition. The study identified a risk index that c...
A study analyzing SPORTIF III and V trials found that ximelagatran is at least as effective as warfarin in preventing strokes and systemic embolic events in men and women with atrial fibrillation. The analysis also showed lower bleeding rates for ximelagatran, particularly among women.
The PAVE study found that biventricular pacing improved cardiac function and functional capacity in patients with chronic atrial fibrillation undergoing ablate and pace therapy. In contrast, the DINAMIT study showed no overall mortality benefit of implantable cardioverter defibrillator (ICD) therapy in patients following a recent acute...
The American College of Physicians (ACP) and the American Academy of Family Physicians (AAFP) have released joint clinical guidelines to manage atrial fibrillation, a common heart condition. The guidelines focus on controlling heart rate and stroke prevention with blood thinners, rather than restoring sinus rhythm.
A large study found warfarin to be highly effective in reducing the risk of ischemic stroke and thromboembolism in patients with atrial fibrillation, even among those at moderate to high risk for stroke. Warfarin was also associated with a reduced risk of all-cause mortality.
The SPORTIF III study found that oral ximelagatran was at least as effective as warfarin in reducing the frequency of stroke or systemic blood clots, with a lower risk of bleeding. Ximelagatran may offer a safer alternative to warfarin for patients with atrial fibrillation and high stroke risk.
Researchers from Michigan Medicine report dramatic success in treating atrial fibrillation patients using radiofrequency catheter ablation, achieving high cure rates and low complication rates. The technique involves delivering intense radiofrequency waves to specific areas of disorganized electrical activity, resulting in a significan...
Atrial fibrillation is associated with decreased endocardial nitric oxide in the left atrial appendage, leading to increased superoxide levels and higher risk of blood clots. The study's findings may provide new avenues for therapeutic interventions in humans with AF.
A study by Duke University Medical Center cardiologists found that patients with atrial fibrillation and congestive heart failure have similar mortality rates when treated with drugs controlling the heart's rhythm compared to those controlling the heart's rate. The study, which analyzed data from over 1,000 patients, also found no diff...
Patients with atrial fibrillation who receive adequate anticoagulation therapy have a reduced risk of stroke severity and complications. INR levels between 2.0-3.0 significantly reduce the risk of stroke, while lower levels increase the likelihood of fatal or debilitating strokes.
A recent JAMA article highlights that less than half of patients with atrial fibrillation are receiving warfarin therapy to reduce their risk of ischemic stroke. The scoring system developed by Thomas J. Wang and colleagues can easily stratify patients at high or low risk for stroke, enabling targeted treatment and counseling.
The ADOPT-A trial demonstrates the effectiveness of the AF Suppression algorithm in reducing symptomatic atrial fibrillation (AF) burden. The study found a significant 25% reduction in symptomatic AF episodes in patients using the algorithm compared to those with standard pacemaker indications.
Researchers discovered that one out of six patients with a history of atrial fibrillation had asymptomatic episodes, highlighting the need for regular blood thinning to prevent stroke. The study suggests doctors should assume the worst when treating patients at risk of atrial fibrillation and stroke.
The SPORTIF III study demonstrates Exanta's efficacy in preventing stroke and systemic embolic events, with a 41% reduced risk of major bleeding events compared to warfarin. The fixed-dose oral medication offers a convenient alternative to traditional treatment, eliminating the need for coagulation monitoring and dietary restrictions.
Researchers have identified the KCNQ1 gene as the primary cause of familial atrial fibrillation, a condition affecting nearly one in 20 individuals over 65. The mutation leads to excessive potassium channel activity, disrupting normal heart rhythms and increasing the risk of heart failure.
The study found that controlling heart rate provides no benefit over controlling the heart's irregular rhythm in patients with atrial fibrillation. This approach may also be less expensive due to lower hospitalization rates and costs.
Researchers at the Mayo Clinic document a safer treatment approach for atrial fibrillation, utilizing adequate anticoagulation medication to reduce the risk of stroke and thromboembolism. The study, conducted from 1990-1994, involved 834 successful cardioversions performed in 717 patients, with an incidence rate of less than 1%.
Researchers found that combining irbesartan with amiodarone significantly reduced the likelihood of recurring atrial fibrillation. The study involved 154 patients and showed a nearly 85% probability of maintaining a stable heartbeat for those treated with irbesartan, compared to 63% for those without.
Researchers at Penn find a cure for atrial fibrillation by targeting triggers in pulmonary veins, eliminating the need for pacemakers and medication. The new procedure has shown effectiveness and low complication rates, offering hope for patients with this serious condition.
Exanta shows comparable efficacy to warfarin in preventing stroke in patients with atrial fibrillation, with the added benefit of no dose titration or routine coagulation monitoring. The THRIVE programme also highlights Exanta's promise in treating venous thromboembolism.
A recent study published in the New England Journal of Medicine found that warfarin and aspirin provide no significant difference in preventing another stroke in ischemic stroke patients without atrial fibrillation. The study, which followed 2,206 individuals for two years, showed no statistically significant differences between the tw...
A 7-year clinical trial comparing aspirin and warfarin found that both drugs are safe and effective in preventing recurrent strokes in most patients. Aspirin slows clotting of blood platelets, while warfarin inhibits circulating clotting proteins.
Researchers have developed a new treatment option for atrial fibrillation using bipolar radiofrequency, which shows promising results in treating the condition. The procedure can be done without using the heart-lung machine and has been tested on sheep with successful outcomes, indicating it may be safe for human patients.
Exanta demonstrated improved safety and tolerability compared to warfarin in treating patients with medium to high risk for stroke and systemic embolism. The phase III SPORTIF programme enrolled over 6,200 patients and showed promising results. Exanta is being investigated as a simpler alternative to warfarin treatment.
A new study has found that frail and elderly patients with chronic atrial fibrillation are less likely to receive stroke-preventing drugs. Warfarin lowers the risk of stroke, heart attack or death by one-fourth in this population, but underuse is common.
A new treatment approach has been developed to restore normal heart rhythms in patients with atrial fibrillation, a condition affecting over 2 million adults. Ibutilide fumarate injection prior to an electrical shock to the heart was successful in converting abnormal rhythms to normal in all study patients.
Researchers have successfully tested an implantable device called Atrioverter to treat atrial fibrillation, a condition that can lead to stroke. The device restored normal rhythm in 96% of treated individuals, offering a new treatment option for those prone to irregular heartbeats.
A Cedars-Sinai Medical Center clinical trial may offer a permanent, non-surgical cure for patients with Paroxysmal Atrial Fibrillation. Correctly identifying patients and eliminating trigger areas using radiofrequency energy could eliminate the need for long-term therapy and reduce stroke risk.
A new study found that low-risk atrial fibrillation patients who take aspirin have a lower risk of stroke compared to those on warfarin, with fewer bleeding complications. The study identified hundreds of thousands of Americans eligible for aspirin therapy and provides new insights into stroke prevention.
Despite evidence of warfarin's effectiveness, it remains underused to prevent strokes in those with atrial fibrillation. The study found that increased prescriptions from 13% to 40% between 1989 and 1993 did not lead to significant changes in usage from 1993 onwards.