Lenient Versus Strict Rate Control in Atrial Fibrillation
نویسندگان
چکیده
منابع مشابه
Lenient versus strict rate control in atrial fibrillation.
At the turn of the century, a spate of randomized, controlled trials (RCTs) compared the 2 main pharmacological options for rhythm management for atrial fibrillation (AF): repeated attempts to restore and maintain sinus rhythm (rhythm control) and controlling the heart rate without any specific attempts to restore and maintain sinus rhythm (rate control) (1). Largely driven by results of the 2 ...
متن کاملLenient versus strict rate control in patients with atrial fibrillation.
BACKGROUND Rate control is often the therapy of choice for atrial fibrillation. Guidelines recommend strict rate control, but this is not based on clinical evidence. We hypothesized that lenient rate control is not inferior to strict rate control for preventing cardiovascular morbidity and mortality in patients with permanent atrial fibrillation. METHODS We randomly assigned 614 patients with...
متن کاملRate versus rhythm control in atrial fibrillation.
OBJECTIVE To determine whether rate control is a viable initial treatment approach in persistent atrial fibrillation (AF) through the evaluation of recently completed trials comparing rate and rhythm control. DATA SOURCES Biomedical literature was obtained through MEDLINE (1966-December 2003) and the Iowa database. STUDY SELECTION AND DATA EXTRACTION Articles identified from the biomedical ...
متن کاملStroke prevention in atrial fibrillation: pharmacological rate versus rhythm control.
Atrial fibrillation is a common arrhythmia associated with increased risk for embolic stroke. Restoration of sinus rhythm in patients with atrial fibrillation is a logical strategy to prevent the cardiovascular and thromboembolic complications of this dysrhythmia. The most common strategy for restoration of sinus rhythm is pharmacological antiarrhythmic therapy with or without electrical cardio...
متن کاملCost-effectiveness of rhythm versus rate control in atrial fibrillation.
BACKGROUND Atrial fibrillation is the most common type of sustained cardiac arrhythmia, but recent trials have identified no clear advantage of rhythm control over rate control. Consequently, economic factors often play a role in guiding treatment selection. OBJECTIVE To estimate the cost-effectiveness of rhythm-control versus rate-control strategies for atrial fibrillation in the Atrial Fibr...
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ژورنال
عنوان ژورنال: Journal of the American College of Cardiology
سال: 2011
ISSN: 0735-1097
DOI: 10.1016/j.jacc.2011.04.028