PMID- 34591130 OWN - NLM STAT- MEDLINE DCOM- 20211102 LR - 20211102 IS - 1432-1289 (Electronic) IS - 0020-9554 (Linking) VI - 62 IP - 11 DP - 2021 Nov TI - [Atrial fibrillation-Syndromic phenotype in HFpEF or primary disease?]. PG - 1174-1179 LID - 10.1007/s00108-021-01171-1 [doi] AB - Atrial fibrillation and heart failure with preserved left ventricular (LV) ejection fraction (HFpEF) are of high importance in cardiology due to the increasing number of cases. Both diseases can mutually affect each other and important cardiovascular risk factors, e.g. arterial hypertension, diabetes mellitus, obesity and chronic renal insufficiency can be observed with increasing frequency. Currently proven treatment concepts for patients with heart failure and reduced ejection fraction (HFrEF) do not appear to have a comparable prognostic or symptomatic benefit for patients with HFpEF. In addition, there are indications that de novo manifestation of atrial fibrillation in HFpEF patients has been linked to reduced survival. Also, heart and kidney function are negatively affected by atrial fibrillation. Retrospective analyses of patients with HFpEF and atrial fibrillation who had been treated by pulmonary vein isolation could show that interventional treatment of the atrial fibrillation led to an improvement in the New York Heart Association (NYHA) stage and diastolic function. Currently running prospective randomized clinical trials, such as the AMPERE study including patients with HFpEF and atrial fibrillation undergoing pulmonary vein isolation, will hopefully provide reliable prospective randomized data and possibly show an improved symptom control and perhaps also prognostically relevant treatment for HFpEF patients with atrial fibrillation. CI - (c) 2021. Springer Medizin Verlag GmbH, ein Teil von Springer Nature. FAU - Mezger, Matthias AU - Mezger M AD - Abteilung fur Kardiologie, Angiologie und internistische Intensivmedizin, Universitares Herzzentrum Lubeck, Lubeck, Deutschland. matthias.mezger@uksh.de. AD - Deutsches Zentrum fur Herz- Kreislauf- Forschung e.V., DZHK Standort Hamburg/Kiel/Lubeck, Lubeck, Deutschland. matthias.mezger@uksh.de. AD - Campus Lubeck, Universitatsklinikum Schleswig-Holstein, Ratzeburger Allee 160, 23538, Lubeck, Deutschland. matthias.mezger@uksh.de. FAU - Stiermaier, Thomas AU - Stiermaier T AD - Abteilung fur Kardiologie, Angiologie und internistische Intensivmedizin, Universitares Herzzentrum Lubeck, Lubeck, Deutschland. AD - Deutsches Zentrum fur Herz- Kreislauf- Forschung e.V., DZHK Standort Hamburg/Kiel/Lubeck, Lubeck, Deutschland. FAU - Reil, Jan-Christian AU - Reil JC AD - Abteilung fur Kardiologie, Angiologie und internistische Intensivmedizin, Universitares Herzzentrum Lubeck, Lubeck, Deutschland. AD - Deutsches Zentrum fur Herz- Kreislauf- Forschung e.V., DZHK Standort Hamburg/Kiel/Lubeck, Lubeck, Deutschland. FAU - Tilz, Roland Richard AU - Tilz RR AD - Abteilung fur Kardiologie, Angiologie und internistische Intensivmedizin, Universitares Herzzentrum Lubeck, Lubeck, Deutschland. AD - Deutsches Zentrum fur Herz- Kreislauf- Forschung e.V., DZHK Standort Hamburg/Kiel/Lubeck, Lubeck, Deutschland. AD - Sektion fur Elektrophysiologie, Universitares Herzzentrum Lubeck, Lubeck, Deutschland. FAU - Lyan, Evgeny AU - Lyan E AD - Herz- und Gefasszentrum Bad Bevensen, Bad Bevensen, Deutschland. FAU - Kuck, Karl-Heinz AU - Kuck KH AD - Abteilung fur Kardiologie, Angiologie und internistische Intensivmedizin, Universitares Herzzentrum Lubeck, Lubeck, Deutschland. AD - Deutsches Zentrum fur Herz- Kreislauf- Forschung e.V., DZHK Standort Hamburg/Kiel/Lubeck, Lubeck, Deutschland. AD - Sektion fur Elektrophysiologie, Universitares Herzzentrum Lubeck, Lubeck, Deutschland. FAU - Eitel, Ingo AU - Eitel I AD - Abteilung fur Kardiologie, Angiologie und internistische Intensivmedizin, Universitares Herzzentrum Lubeck, Lubeck, Deutschland. AD - Deutsches Zentrum fur Herz- Kreislauf- Forschung e.V., DZHK Standort Hamburg/Kiel/Lubeck, Lubeck, Deutschland. LA - ger PT - Journal Article PT - Review TT - Vorhofflimmern - syndromaler Phanotyp bei HFpEF oder primare Erkrankung? DEP - 20210930 PL - Germany TA - Internist (Berl) JT - Der Internist JID - 0264620 SB - IM MH - *Atrial Fibrillation/diagnosis/therapy MH - *Heart Failure/diagnosis/therapy MH - Humans MH - Phenotype MH - Prospective Studies MH - Retrospective Studies MH - Stroke Volume OTO - NOTNLM OT - Atrial fibrillation/prognosis OT - Cardiovascular risk factors OT - Diabetes mellitus, type 2 OT - Heart failure with preserved ejection fraction OT - Renal insufficiency EDAT- 2021/10/01 06:00 MHDA- 2021/11/03 06:00 CRDT- 2021/09/30 12:24 PHST- 2021/09/01 00:00 [accepted] PHST- 2021/10/01 06:00 [pubmed] PHST- 2021/11/03 06:00 [medline] PHST- 2021/09/30 12:24 [entrez] AID - 10.1007/s00108-021-01171-1 [pii] AID - 10.1007/s00108-021-01171-1 [doi] PST - ppublish SO - Internist (Berl). 2021 Nov;62(11):1174-1179. doi: 10.1007/s00108-021-01171-1. Epub 2021 Sep 30.