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RAte Control Efficacy in permanent atrial fibrillation: a comparison between lenient versus strict rate control in patients with and without heart failure. Background, aims, and design of RACE II

Recent studies demonstrated that rate control is an acceptable alternative for rhythm control in patients with persistent atrial fibrillation (AF). However, optimal heart rate during AF is still unknown. To show that in patients with permanent AF, lenient rate control is not inferior to strict rate... Full description

Journal Title: The American heart journal 2006, Vol.152 (3), p.420-426
Main Author: Van Gelder, Isabelle C
Other Authors: Van Veldhuisen, Dirk J , Crijns, Harry J.G.M , Tuininga, Ype S , Tijssen, Jan G.P , Alings, A. Marco , Bosker, Hans A , Cornel, Jan H , Kamp, Otto , Veeger, Nic J.G.M , Volbeda, Meint , Rienstra, Michiel , Ranchor, Adelita V , TenVergert, Elisabeth M , Van Den Berg, Maarten P
Format: Electronic Article Electronic Article
Language: English
Subjects:
Quelle: Alma/SFX Local Collection
Publisher: New York, NY: Mosby, Inc
ID: ISSN: 0002-8703
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title: RAte Control Efficacy in permanent atrial fibrillation: a comparison between lenient versus strict rate control in patients with and without heart failure. Background, aims, and design of RACE II
format: Article
creator:
  • Van Gelder, Isabelle C
  • Van Veldhuisen, Dirk J
  • Crijns, Harry J.G.M
  • Tuininga, Ype S
  • Tijssen, Jan G.P
  • Alings, A. Marco
  • Bosker, Hans A
  • Cornel, Jan H
  • Kamp, Otto
  • Veeger, Nic J.G.M
  • Volbeda, Meint
  • Rienstra, Michiel
  • Ranchor, Adelita V
  • TenVergert, Elisabeth M
  • Van Den Berg, Maarten P
subjects:
  • Abridged Index Medicus
  • Analysis
  • Anti-Arrhythmia Agents - therapeutic use
  • Atrial fibrillation
  • Atrial Fibrillation - complications
  • Atrial Fibrillation - epidemiology
  • Atrial Fibrillation - therapy
  • Biological and medical sciences
  • Cardiac arrhythmia
  • Cardiac dysrhythmias
  • Cardiac Pacing, Artificial - methods
  • Cardiac Pacing, Artificial - trends
  • Cardiac patients
  • Cardiology. Vascular system
  • Care and treatment
  • Drug therapy
  • Follow-Up Studies
  • Heart
  • Heart beat
  • Heart failure
  • Heart Failure - complications
  • Heart Failure - epidemiology
  • Heart Failure - therapy
  • Heart failure, cardiogenic pulmonary edema, cardiac enlargement
  • Heart rate
  • Humans
  • Medical prognosis
  • Medical sciences
  • Morbidity
  • Mortality
  • Multicenter Studies as Topic - methods
  • Multicenter Studies as Topic - trends
  • Patient outcomes
  • Patient Selection
  • Prospective Studies
  • Randomized Controlled Trials as Topic - methods
  • Randomized Controlled Trials as Topic - trends
  • Studies
ispartof: The American heart journal, 2006, Vol.152 (3), p.420-426
description: Recent studies demonstrated that rate control is an acceptable alternative for rhythm control in patients with persistent atrial fibrillation (AF). However, optimal heart rate during AF is still unknown. To show that in patients with permanent AF, lenient rate control is not inferior to strict rate control in terms of cardiovascular mortality, morbidity, neurohormonal activation, New York Heart Association class for heart failure, left ventricular function, left atrial size, quality of life, and costs. The RACE II study is a prospective multicenter trial in The Netherlands that will randomize 500 patients with permanent AF (≤12 months) to strict or lenient rate control. Strict rate control is defined as a mean resting heart rate
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0002-8703
fulltext: fulltext
issn:
  • 0002-8703
  • 1097-6744
url: Link


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titleRAte Control Efficacy in permanent atrial fibrillation: a comparison between lenient versus strict rate control in patients with and without heart failure. Background, aims, and design of RACE II
sourceAlma/SFX Local Collection
creatorVan Gelder, Isabelle C ; Van Veldhuisen, Dirk J ; Crijns, Harry J.G.M ; Tuininga, Ype S ; Tijssen, Jan G.P ; Alings, A. Marco ; Bosker, Hans A ; Cornel, Jan H ; Kamp, Otto ; Veeger, Nic J.G.M ; Volbeda, Meint ; Rienstra, Michiel ; Ranchor, Adelita V ; TenVergert, Elisabeth M ; Van Den Berg, Maarten P
creatorcontribVan Gelder, Isabelle C ; Van Veldhuisen, Dirk J ; Crijns, Harry J.G.M ; Tuininga, Ype S ; Tijssen, Jan G.P ; Alings, A. Marco ; Bosker, Hans A ; Cornel, Jan H ; Kamp, Otto ; Veeger, Nic J.G.M ; Volbeda, Meint ; Rienstra, Michiel ; Ranchor, Adelita V ; TenVergert, Elisabeth M ; Van Den Berg, Maarten P
descriptionRecent studies demonstrated that rate control is an acceptable alternative for rhythm control in patients with persistent atrial fibrillation (AF). However, optimal heart rate during AF is still unknown. To show that in patients with permanent AF, lenient rate control is not inferior to strict rate control in terms of cardiovascular mortality, morbidity, neurohormonal activation, New York Heart Association class for heart failure, left ventricular function, left atrial size, quality of life, and costs. The RACE II study is a prospective multicenter trial in The Netherlands that will randomize 500 patients with permanent AF (≤12 months) to strict or lenient rate control. Strict rate control is defined as a mean resting heart rate <80 beats per minute (bpm) and heart rate during minor exercise <110 bpm. After reaching the target, a 24-hour Holter monitoring will be performed. If necessary, drug dose reduction and/or pacemaker implantation will be performed. Lenient rate control is defined as a resting heart rate <110 bpm. Patients will be seen after 1, 2, and 3 months (for titration of rate control drugs) and yearly thereafter. We anticipate a 25% 2.5-year cardiovascular morbidity and mortality in both groups. Enrollment started in January 2005 in 29 centers in The Netherlands and is expected to be concluded in June 2006. Follow-up will be at least 2 years with a maximum of 3 years. This study should provide data how to treat patients with permanent AF.
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languageeng
publisherNew York, NY: Mosby, Inc
subjectAbridged Index Medicus ; Analysis ; Anti-Arrhythmia Agents - therapeutic use ; Atrial fibrillation ; Atrial Fibrillation - complications ; Atrial Fibrillation - epidemiology ; Atrial Fibrillation - therapy ; Biological and medical sciences ; Cardiac arrhythmia ; Cardiac dysrhythmias ; Cardiac Pacing, Artificial - methods ; Cardiac Pacing, Artificial - trends ; Cardiac patients ; Cardiology. Vascular system ; Care and treatment ; Drug therapy ; Follow-Up Studies ; Heart ; Heart beat ; Heart failure ; Heart Failure - complications ; Heart Failure - epidemiology ; Heart Failure - therapy ; Heart failure, cardiogenic pulmonary edema, cardiac enlargement ; Heart rate ; Humans ; Medical prognosis ; Medical sciences ; Morbidity ; Mortality ; Multicenter Studies as Topic - methods ; Multicenter Studies as Topic - trends ; Patient outcomes ; Patient Selection ; Prospective Studies ; Randomized Controlled Trials as Topic - methods ; Randomized Controlled Trials as Topic - trends ; Studies
ispartofThe American heart journal, 2006, Vol.152 (3), p.420-426
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0Van Gelder, Isabelle C
1Van Veldhuisen, Dirk J
2Crijns, Harry J.G.M
3Tuininga, Ype S
4Tijssen, Jan G.P
5Alings, A. Marco
6Bosker, Hans A
7Cornel, Jan H
8Kamp, Otto
9Veeger, Nic J.G.M
10Volbeda, Meint
11Rienstra, Michiel
12Ranchor, Adelita V
13TenVergert, Elisabeth M
14Van Den Berg, Maarten P
title
0RAte Control Efficacy in permanent atrial fibrillation: a comparison between lenient versus strict rate control in patients with and without heart failure. Background, aims, and design of RACE II
1The American heart journal
addtitleAm Heart J
descriptionRecent studies demonstrated that rate control is an acceptable alternative for rhythm control in patients with persistent atrial fibrillation (AF). However, optimal heart rate during AF is still unknown. To show that in patients with permanent AF, lenient rate control is not inferior to strict rate control in terms of cardiovascular mortality, morbidity, neurohormonal activation, New York Heart Association class for heart failure, left ventricular function, left atrial size, quality of life, and costs. The RACE II study is a prospective multicenter trial in The Netherlands that will randomize 500 patients with permanent AF (≤12 months) to strict or lenient rate control. Strict rate control is defined as a mean resting heart rate <80 beats per minute (bpm) and heart rate during minor exercise <110 bpm. After reaching the target, a 24-hour Holter monitoring will be performed. If necessary, drug dose reduction and/or pacemaker implantation will be performed. Lenient rate control is defined as a resting heart rate <110 bpm. Patients will be seen after 1, 2, and 3 months (for titration of rate control drugs) and yearly thereafter. We anticipate a 25% 2.5-year cardiovascular morbidity and mortality in both groups. Enrollment started in January 2005 in 29 centers in The Netherlands and is expected to be concluded in June 2006. Follow-up will be at least 2 years with a maximum of 3 years. This study should provide data how to treat patients with permanent AF.
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0Abridged Index Medicus
1Analysis
2Anti-Arrhythmia Agents - therapeutic use
3Atrial fibrillation
4Atrial Fibrillation - complications
5Atrial Fibrillation - epidemiology
6Atrial Fibrillation - therapy
7Biological and medical sciences
8Cardiac arrhythmia
9Cardiac dysrhythmias
10Cardiac Pacing, Artificial - methods
11Cardiac Pacing, Artificial - trends
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13Cardiology. Vascular system
14Care and treatment
15Drug therapy
16Follow-Up Studies
17Heart
18Heart beat
19Heart failure
20Heart Failure - complications
21Heart Failure - epidemiology
22Heart Failure - therapy
23Heart failure, cardiogenic pulmonary edema, cardiac enlargement
24Heart rate
25Humans
26Medical prognosis
27Medical sciences
28Morbidity
29Mortality
30Multicenter Studies as Topic - methods
31Multicenter Studies as Topic - trends
32Patient outcomes
33Patient Selection
34Prospective Studies
35Randomized Controlled Trials as Topic - methods
36Randomized Controlled Trials as Topic - trends
37Studies
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1Van Veldhuisen, Dirk J
2Crijns, Harry J.G.M
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5Alings, A. Marco
6Bosker, Hans A
7Cornel, Jan H
8Kamp, Otto
9Veeger, Nic J.G.M
10Volbeda, Meint
11Rienstra, Michiel
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13TenVergert, Elisabeth M
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titleRAte Control Efficacy in permanent atrial fibrillation: a comparison between lenient versus strict rate control in patients with and without heart failure. Background, aims, and design of RACE II
authorVan Gelder, Isabelle C ; Van Veldhuisen, Dirk J ; Crijns, Harry J.G.M ; Tuininga, Ype S ; Tijssen, Jan G.P ; Alings, A. Marco ; Bosker, Hans A ; Cornel, Jan H ; Kamp, Otto ; Veeger, Nic J.G.M ; Volbeda, Meint ; Rienstra, Michiel ; Ranchor, Adelita V ; TenVergert, Elisabeth M ; Van Den Berg, Maarten P
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1Analysis
2Anti-Arrhythmia Agents - therapeutic use
3Atrial fibrillation
4Atrial Fibrillation - complications
5Atrial Fibrillation - epidemiology
6Atrial Fibrillation - therapy
7Biological and medical sciences
8Cardiac arrhythmia
9Cardiac dysrhythmias
10Cardiac Pacing, Artificial - methods
11Cardiac Pacing, Artificial - trends
12Cardiac patients
13Cardiology. Vascular system
14Care and treatment
15Drug therapy
16Follow-Up Studies
17Heart
18Heart beat
19Heart failure
20Heart Failure - complications
21Heart Failure - epidemiology
22Heart Failure - therapy
23Heart failure, cardiogenic pulmonary edema, cardiac enlargement
24Heart rate
25Humans
26Medical prognosis
27Medical sciences
28Morbidity
29Mortality
30Multicenter Studies as Topic - methods
31Multicenter Studies as Topic - trends
32Patient outcomes
33Patient Selection
34Prospective Studies
35Randomized Controlled Trials as Topic - methods
36Randomized Controlled Trials as Topic - trends
37Studies
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1Van Veldhuisen, Dirk J
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3Tuininga, Ype S
4Tijssen, Jan G.P
5Alings, A. Marco
6Bosker, Hans A
7Cornel, Jan H
8Kamp, Otto
9Veeger, Nic J.G.M
10Volbeda, Meint
11Rienstra, Michiel
12Ranchor, Adelita V
13TenVergert, Elisabeth M
14Van Den Berg, Maarten P
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6Bosker, Hans A
7Cornel, Jan H
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9Veeger, Nic J.G.M
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abstractRecent studies demonstrated that rate control is an acceptable alternative for rhythm control in patients with persistent atrial fibrillation (AF). However, optimal heart rate during AF is still unknown. To show that in patients with permanent AF, lenient rate control is not inferior to strict rate control in terms of cardiovascular mortality, morbidity, neurohormonal activation, New York Heart Association class for heart failure, left ventricular function, left atrial size, quality of life, and costs. The RACE II study is a prospective multicenter trial in The Netherlands that will randomize 500 patients with permanent AF (≤12 months) to strict or lenient rate control. Strict rate control is defined as a mean resting heart rate <80 beats per minute (bpm) and heart rate during minor exercise <110 bpm. After reaching the target, a 24-hour Holter monitoring will be performed. If necessary, drug dose reduction and/or pacemaker implantation will be performed. Lenient rate control is defined as a resting heart rate <110 bpm. Patients will be seen after 1, 2, and 3 months (for titration of rate control drugs) and yearly thereafter. We anticipate a 25% 2.5-year cardiovascular morbidity and mortality in both groups. Enrollment started in January 2005 in 29 centers in The Netherlands and is expected to be concluded in June 2006. Follow-up will be at least 2 years with a maximum of 3 years. This study should provide data how to treat patients with permanent AF.
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