This protocol addresses tachycardia-induced cardiomyopathy occurring in patients with atrial fibrillation and compensated heart failure — a co-existing combination that directly informs strategy selection and monitoring goals.
Management involves choosing between a rate control strategy or a rhythm control strategy. Both approaches are considered reasonable in this setting. The structured protocol defines the criteria for selection and the complete management pathway — access it below.
Key goals include achieving a resting heart rate of up to 80 beats/min and up to 115 beats/min during moderate exercise.
DOI: 10.4070/kcj.2019.0199
Both rate and rhythm control strategies are reasonable choices for patients with AF with compensated HF.
Until then, a resting heart rate of up to 80 beats/min and up to 115 beats/min during moderate exercise should be an acceptable rate control target for AF patients with possible diagnosis of T-CMP.
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