Controlling Resting Heart Rate in Patients with Atrial Fibrillation and Coronary Heart Disease
Study Overview
Current guidelines suggest keeping the resting heart rate below 100-110 beats per minute (bpm) for patients with atrial fibrillation (AF). However, there is little research on treating patients with both atrial fibrillation and coronary heart disease (AF&CHD).
Key Findings
- We analyzed 3986 participants from the AFFIRM trial, with 1522 having AF&CHD.
- Patients with AF&CHD often had a higher number of health issues including smoking, hypertension, diabetes, and more.
- They were also more likely to have surgeries like coronary artery bypass grafting (CABG) and pacemaker implantation.
- Patients with AF&CHD had a significantly higher risk of death compared to those with only AF.
- The study found an optimal resting heart rate of 70 bpm for AF&CHD patients.
- Lower resting heart rates (below 70 bpm) were linked to lower mortality rates.
Conclusions
For patients with AF&CHD, maintaining a resting heart rate under 70 bpm may be beneficial and could reduce mortality risks.
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