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Dtsch Med Wochenschr. 2015 Jun;140(13):1006-12. doi: 10.1055/s-0041-102733. Epub 2015 Jun 26.

[Cardiac rehabilitation in patients with atrial fibrillation].

[Article in German]

Author information

1
Paracelsus-Harz-Klinik Bad Suderode, Quedlinburg und Medizinische Fakultät der Martin Luther-Universität Halle-Wittenberg.
2
MediClin Reha-Zentrum Spreewald, Burg.
3
Reha-Klinik am Sendesaal, Bremen.
4
AMEOS Klinikum Aschersleben.
5
Klinik am See, Rüdersdorf und Humanwissenschaftliche Fakultät der Universität Potsdam.

Abstract

The course of cardiac rehabilitation is often altered due to episodes of paroxysmal, predominantly postoperative atrial fibrillation. In symptomatic patients, a TEE-guided cardioversion - preferential DC shock - is indicated. In patients with persistent / permanent atrial fibrillation, a heart rate up to 110 / min and 170 / min at rest and during physical activity should, respectively, be tolerated. Therefore, training should not be quitted by heart rate but rather by load. The antithrombotic management is in addition a great task in treating patients with atrial fibrillation. With the exception of patients with a CHA2DS2-VASc-Score < 1, oral anticoagulation is indicated. Atrial fibrillation has little impact on social aspects, whereas the underlying heart disease and drug treatment (oral anticoagulation) has an important impact.

PMID:
26115137
DOI:
10.1055/s-0041-102733
[Indexed for MEDLINE]

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