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Heart, Lung and Circulation
Editorial| Volume 27, ISSUE 6, P652-655, June 2018

Atrial Fibrillation, an Under-Appreciated Reversible Cause of Cardiomyopathy: Implications for Clinical Practice From the CAMERA-MRI Study

  • Sandeep Prabhu
    Affiliations
    Department of Cardiology, Alfred Hospital, Melbourne, Vic, Australia

    Baker IDI Heart and Diabetes Institute, Melbourne, Vic, Australia

    Cardiology Department, Royal Melbourne Hospital, Melbourne, Vic, Australia

    Faculty of Medicine, Dentistry, and Health Sciences, University of Melbourne, Melbourne, Vic, Australia
    Search for articles by this author
  • Peter M. Kistler
    Correspondence
    Corresponding author at: Head Clinical Electrophysiology, The Heart Centre, The Alfred Hospital, Commercial Road, Melbourne, Victoria, Australia, 3004. Tel.: +61 3 9076 2000; fax: +61 3 9076 2461.
    Affiliations
    Department of Cardiology, Alfred Hospital, Melbourne, Vic, Australia

    Baker IDI Heart and Diabetes Institute, Melbourne, Vic, Australia

    Faculty of Medicine, Dentistry, and Health Sciences, University of Melbourne, Melbourne, Vic, Australia
    Search for articles by this author
      Atrial fibrillation (AF) and left ventricular systolic dysfunction (LVSD) are two cardiovascular conditions that are increasing in incidence worldwide [
      • Chugh S.S.
      • Havmoeller R.
      • Narayanan K.
      • Singh D.
      • Rienstra M.
      • Benjamin E.J.
      • et al.
      Worldwide epidemiology of atrial fibrillation: a Global Burden of Disease 2010 Study.
      ]. Both conditions are associated with worsened survival and morbidity, in addition to significant economic burdens upon health care systems [
      • Cook C.
      • Cole G.
      • Asaria P.
      • Jabbour R.
      • Francis D.P.
      The annual global economic burden of heart failure.
      ]. Shared pathophysiological mechanisms mean that each condition can perpetuate the other, often making the temporal relationship between the two difficult to determine [
      • Prabhu S.
      • Voskoboinik A.
      • Kaye D.M.
      • Kistler P.M.
      Atrial Fibrillation and Heart Failure; Cause or Effect?.
      ]. Nonetheless, such a distinction may be critical, particularly where AF is driving the LVSD, as treatment of the AF may potentially improve or even reverse the LVSD.

      Keywords

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