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Atrial Fibrillation in the Elderly

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Cardiac Management in the Frail Elderly Patient and the Oldest Old

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Abstract

Atrial fibrillation (AF) is the most frequent sustained arrhythmia in the elderly. AF is often associated with (and aggravates the clinical course of) several age-related disorders, such as chronic heart failure, non-ST-elevation myocardial infarction, cerebrovascular disease, chronic obstructive pulmonary disease, pneumonia, and urinary infections. Older patients can develop the most severe complications of AF, such as stroke and dementia. Despite existing evidence, oral anticoagulation is still underused in the elderly. A rate-control strategy is frequently adopted. In conclusion, AF in elderly patients is common and often represents a marker of multiple comorbidities and frailty. Management should aim at reducing symptoms and improving health-related quality of life and survival.

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Authors and Affiliations

  1. Geriatric Intensive Care Unit, Department of Experimental and Clinical Medicine, University of Florence and AOU Careggi, Viale Pieraccini, 6, Florence, 50139, Italy

    Stefano Fumagalli MD, PhD & Debbie Gabbai MD

  2. Postgraduate School of Cardiology, Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy

    Luigi Padeletti MD

  3. Cardiovascular Department, IRCCS MultiMedica, Sesto San Giovanni, Milan, Italy

    Luigi Padeletti MD

  4. Department of Cardiology, Maastricht University Medical Center, Maastricht, The Netherlands

    Harry J. Crijns MD, PhD

  5. City Hospital, University of Birmingham Institute of Cardiovascular Sciences, Birmingham, UK

    Gregory Y. H. Lip MD

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  1. Stefano Fumagalli MD, PhD
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  2. Debbie Gabbai MD
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  3. Luigi Padeletti MD
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  4. Harry J. Crijns MD, PhD
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  5. Gregory Y. H. Lip MD
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Correspondence to Stefano Fumagalli MD, PhD .

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Editors and Affiliations

  1. Hypertension Centre - Syncope Unit, Geriatrics Intensive Care Unit University of Florence and Azienda Ospedaliero-Universitaria Careggi, Florence, Italy

    Andrea Ungar

  2. Professor of Internal Medicine-Geriatrics University of Florence Director, Cardiothoracovascular Department Azienda Ospedaliero-Universitaria Careggi, Florence, Italy

    Niccolò Marchionni

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Fumagalli, S., Gabbai, D., Padeletti, L., Crijns, H.J., Lip, G.Y.H. (2017). Atrial Fibrillation in the Elderly. In: Ungar, A., Marchionni, N. (eds) Cardiac Management in the Frail Elderly Patient and the Oldest Old. Springer, Cham. https://doi.org/10.1007/978-3-319-43468-1_12

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