What is affirm study?
The Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) Study is a randomized evaluation of treatment of atrial fibrillation by 1 of 2 strategies: ventricular rate control and anticoagulation versus rhythm control and anticoagulation.
What did the Affirm trial show?
The Atrial Fibrillation Follow-Up Investigation of Rhythm Management (AFFIRM) trial was conducted to examine two treatment strategies for AF, namely rate control or rhythm control (4,5). All-cause mortality, the primary outcome measure, showed a trend toward excess mortality in the rhythm control arm.
What is affirm midwifery?
The study, called AFFIRM (Does Promoting Awareness of Fetal movements and Focussing Interventions Reduce Fetal Mortality?) – analysed data from more than 400,000 pregnancies in 33 hospitals around the Scotland, England, Northern Ireland and the Republic of Ireland.
How do you control sinus rhythm?
Cardiac ablation
- Medications. If you have a pacemaker and your heart rate is still too fast, your doctor may prescribe medications to prevent or to slow down fast rhythms.
- AV node ablation. This procedure also can control fast heart rhythms in people with pacemakers.
- Cardiac ablation for atrial fibrillation.
What is rhythm control?
Rhythm control was defined as use of an antiarrhythmic medication, cardioversion, or AF ablation or surgery. Rate control was defined as use of any combination of β‐blocker, calcium channel blocker, and digoxin without evidence of rhythm control.
How much does FGR increase risk of stillbirth?
If congenital anomalies are excluded, FGR precedes over 50% stillbirths [1] and 42% of early neonatal deaths [2]. It is furthermore associated with perinatal morbidity, including fetal distress during labour, and increases the risk of cerebral palsy [3,4].
What can Reduced movements mean?
Why your baby’s movements are important If your baby is not well, they will not be as active as usual. This means less movement can be a sign of infection or another problem. The sooner this is found out the better, so you and your baby can be given the right treatment and care. This could save your baby’s life.
What is Tachy Brady syndrome?
In tachy-brady syndrome, also called tachycardia-bradycardia syndrome, the heart sometimes beats too quickly (tachy) and sometimes beats too slowly (brady). This abnormal heart rhythm problem is often seen in people who have been diagnosed with atrial fibrillation.
How do you treat SSS?
For most people with symptoms, the treatment is an implanted electronic pacemaker….If you have a rapid heart rate as part of your sick sinus syndrome, you may need additional treatments to control these rhythms:
- Medications.
- AV node ablation.
- Cardiac ablation for atrial fibrillation.
Which is better rhythm or rate control?
Clinical Perspective Patients aged 65 and older with heart failure with preserved ejection fraction and atrial fibrillation treated with rhythm control were found to have an associated lower 1‐year mortality compared with treatment with rate control.
Is rate control better than rhythm control?
There is no difference between rate and rhythm control in terms of mortality. Underlying factors for AF should be identified and corrected if possible. When deciding whether to control rate or rhythm, patient-specific factors such as type of AF, comorbidities, and patient preference should be considered.
Do babies with FGR survive?
FGR can cause many serious complications. Your baby may need to be delivered early and stay in the hospital. Your baby may have trouble breathing, infections, and other problems. Stillbirths and death may occur.