Is rhythm control superior to rate control in patients with atrial fibrillation and congestive heart failure?

Am J Cardiol. 2004 Sep 15;94(6):797-800. doi: 10.1016/j.amjcard.2004.06.009.

Abstract

In 1,009 patients with atrial fibrillation and congestive heart failure, the 2-year mortality rate was 31% in patients treated with rate control (n = 505) versus 29% in patients treated with rhythm control (n = 504). After adjusting for differences in baseline characteristics and medications, no significant difference in mortality was found between the 2 groups.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use
  • Anti-Arrhythmia Agents / therapeutic use*
  • Anticoagulants / therapeutic use
  • Atrial Fibrillation / complications*
  • Atrial Fibrillation / mortality
  • Atrial Fibrillation / prevention & control*
  • Calcium Channel Blockers / therapeutic use
  • Chi-Square Distribution
  • Digoxin / therapeutic use
  • Female
  • Heart Failure / complications*
  • Heart Failure / mortality
  • Humans
  • Male
  • Proportional Hazards Models
  • Statistics, Nonparametric
  • Treatment Outcome
  • Warfarin / therapeutic use

Substances

  • Adrenergic beta-Antagonists
  • Anti-Arrhythmia Agents
  • Anticoagulants
  • Calcium Channel Blockers
  • Warfarin
  • Digoxin