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Previous Volume 351:2437-2440 December 2, 2004 Number 23 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Heart failure is often complicated by atrial fibrillation, and atrial fibrillation can exacerbate and in some cases cause heart failure. Adverse effects of atrial fibrillation include a loss of atrial contribution to ventricular filling, a nonphysiologic heart-rate response, irregular periods of ventricular filling, and an increased risk of thromboembolism. In an editorial in the Journal five years ago,¹ we observed that atrial fibrillation was associated with an adverse prognosis in several studies of heart failure, but it was not clear whether it directly increased disease progression and mortality or was only a marker for the severity of heart failure. Therapy . . . [Full Text of this Article]

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From the Cardiovascular Division, Brigham and Women's Hospital, Harvard Medical School, Boston.

Related Letters:

Ablation for Atrial Fibrillation in Congestive Heart Failure
Crijns H. I.G.M., Tieleman R. G., Van Gelder I. C., Gehi A. K., Mehta D., Hsu L.-F., Haïssaguerre M., Jaïs P.
Extract | Full Text | PDF  
N Engl J Med 2005; 352:1148-1149, Mar 17, 2005. Correspondence

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