Chronic Obstructive Pulmonary Disease and Atrial Fibrillation

An Interdisciplinary Perspective

Sami O. Simons; Adrian Elliott; Manuel Sastry; Jeroen M. Hendriks; Michael Arzt; Michiel Rienstra; Jonathan M. Kalman; Hein Heidbuchel; Stanley Nattel; Geertjan Wesseling; Ulrich Schotten; Isabelle C. van Gelder; Frits M.E. Franssen; Prashanthan Sanders; Harry J.G.M. Crijns; Dominik Linz


Eur Heart J. 2021;42(5):532-540. 

In This Article

Professional Society Recommendations

The 2016 European Society of Cardiology AF-guidelines[12] recommend the correction of hypoxaemia and acidosis as initial management for patients who develop AF during an acute pulmonary illness or exacerbation of chronic pulmonary disease. (Class of recommendation IIa 'reasonable to perform', Evidence level C.) Unfortunately, the guideline is weak with respect to statements/standards, that describe how to rule out comorbidities contributing to the non-specific symptoms of dyspnoea due to AF or recommendations concerning rate or rhythm control in AF patients with concomitant COPD.[12,13]