In the management of irregular heart rhythms originating in the atria, a key clinical objective is controlling the speed of ventricular contractions. This involves establishing an optimal range for the pulse, allowing for adequate blood circulation while minimizing symptoms and potential complications. For example, a common goal might be to maintain a resting pulse below a certain threshold, or within a specific range during moderate exercise.
Effective management of rapid ventricular response in atrial fibrillation is critical for improving patient quality of life and reducing the risk of adverse cardiovascular events. Historically, controlling ventricular rate has been a cornerstone of atrial fibrillation management, preceding the widespread adoption of rhythm control strategies. This approach recognizes that while restoring normal sinus rhythm is desirable, controlling the rate can often effectively manage symptoms and prevent complications such as heart failure and stroke.