title: [Cardiac rehabilitation in patients with atrial fibrillation].
abstract: The course of cardiac rehabilitation is often altered due to episodes of paroxysmal, predominantly postoperative atrial fibrillation. In symptomatic patients, a TEE-guided cardioversion - preferential DC shock - is indicated. In patients with persistent / permanent atrial fibrillation, a heart rate up to 110 / min and 170 / min at rest and during physical activity should, respectively, be tolerated. Therefore, training should not be quitted by heart rate but rather by load. The antithrombotic management is in addition a great task in treating patients with atrial fibrillation. With the exception of patients with a CHA2DS2-VASc-Score < 1, oral anticoagulation is indicated. Atrial fibrillation has little impact on social aspects, whereas the underlying heart disease and drug treatment (oral anticoagulation) has an important impact.
authors.affiliation: Paracelsus-Harz-Klinik Bad Suderode, Quedlinburg und Medizinische Fakultät der Martin Luther-Universität Halle-Wittenberg.
authors.forename: Axel
authors.initials: A
authors.lastname: Schlitt
authors.affiliation: MediClin Reha-Zentrum Spreewald, Burg.
authors.forename: Wolfram
authors.initials: W
authors.lastname: Kamke
authors.affiliation: Reha-Klinik am Sendesaal, Bremen.
authors.forename: Manju
authors.initials: M
authors.lastname: Guha
authors.affiliation: AMEOS Klinikum Aschersleben.
authors.forename: Olaf
authors.initials: O
authors.lastname: Haberecht
authors.affiliation: Klinik am See, Rüdersdorf und Humanwissenschaftliche Fakultät der Universität Potsdam.
authors.forename: Heinz
authors.initials: H
authors.lastname: Völler
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000175:diagnosis / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D017548:Echocardiography, Transesophageal; D004554:Electric Countershock; D015716:Electrocardiography, Ambulatory; D005081:Exercise Therapy; D006801:Humans; D011183:Postoperative Complications / Q000534:rehabilitation*; D013923:Thromboembolism / Q000517:prevention & control
chemical_list: D000925:Anticoagulants