Atrial fibrillation in the elderly

Anil Yadav, Melvin Scheinman

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Atrial fibrillation is the most common arrhythmia in the United States, whose incidence is greatest in the elderly population. This rhythm disorder can be paroxysmal or chronic and is associated with a range of clinical conditions from palpitations and dyspnea to stroke and death. In the elderly the mainstay of treatment of atrial fibrillation should utilize drug therapy. The main goals of drug therapy should be effective rate control to avoid tachycardia-induced cardiomyopathy, anticoagulation to reduce the risk of stroke and thromboembolism, and maintenance of sinus rhythm to prevent adverse atrial remodeling. In those patients in whom effective rate control cannot be achieved, catheter ablation of the atrioventricular node and implantation of a permanent pacemaker should be considered. Catheter ablation of atrial fibrillation by targeting pulmonary venous foci or pulmonary venous isolation currently remains investigational and we advocate its use be limited to symptomatic patients who have failed traditional therapy.

Original languageEnglish
Pages (from-to)49-56
Number of pages8
JournalAmerican Journal of Geriatric Cardiology
Volume12
Issue number1
DOIs
StatePublished - Jan 2003

Fingerprint

Atrial Fibrillation
Catheter Ablation
Stroke
Atrial Remodeling
Drug Therapy
Lung
Atrioventricular Node
Thromboembolism
Cardiomyopathies
Tachycardia
Dyspnea
Cardiac Arrhythmias
Maintenance
Incidence
Therapeutics
Population

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Cardiology and Cardiovascular Medicine

Cite this

Atrial fibrillation in the elderly. / Yadav, Anil; Scheinman, Melvin.

In: American Journal of Geriatric Cardiology, Vol. 12, No. 1, 01.2003, p. 49-56.

Research output: Contribution to journalArticle

Yadav, Anil ; Scheinman, Melvin. / Atrial fibrillation in the elderly. In: American Journal of Geriatric Cardiology. 2003 ; Vol. 12, No. 1. pp. 49-56.
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