Non-Pharmacological Methods of Maintaining Sinus Rhythm * Response

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Non-pharmacological methods of maintaining sinus rhythm.

Sinus Rhythm To the Editor: The Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) investigators recently presented their analysis of the relationship between cardiac rhythm, treatment, and survival from the original AFFIRM study.1 The investigators conclude that the use of warfarin and the presence of sinus rhythm were important determinants of survival. The use of antia...

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Approaches to restoring and maintaining normal sinus rhythm.

The primary strategies in managing patients with atrial fibrillation (AF) are rate control, termination of the arrhythmia, and prevention of recurrences and thromboembolic events. Although there have been great advances in nonpharmacologic therapies to achieve these aims, drug therapy remains firstline treatment for patients with AF. This review briefly profiles the drugs most commonly used for...

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Novel Pharmacological Interventions to Maintain Sinus Rhythm after DC Cardioversion

Despite the availability of potentially curative interventions for atrial fibrillation, there remains an important role for conventional anti-arrhythmic therapy and anti-coagulation combined with direct current cardioversion. Unfortunately, the latter approach is disturbed by high recurrence rates of atrial fibrillation. In recent years, several adjunctive therapies have emerged which may facil...

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Pharmacological and electrical conversion of atrial fibrillation to sinus rhythm: Is it worth it? Pharmacological and Electrical Conversion of Atrial Fibrillation to Sinus Rhythm Is Worth the Effort

Current treatment guidelines for atrial fibrillation (AF) base decisions on the triad of prevention of symptoms and protection from stroke and tachycardia-mediated cardiomyopathy. Conceptually, all of these objectives could be satisfied by either timely cardioversion and subsequent rhythm control, or the admittedly easier (for the patient and the physician) rate control strategy. We feel strong...

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[Antiarrhythmics for maintaining sinus rhythm after cardioversion of atrial fibrillation. A survey of a Cochrane review].

BACKGROUND Atrial fibrillation (AF) is the most frequent sustained arrhythmia. AF recurs frequently after restoration of normal sinus rhythm. Antiarrhythmic drugs have been widely used to prevent recurrence, but the effect of these drugs on mortality and other clinical outcomes is unclear. OBJECTIVES To determine, in patients who recovered sinus rhythm after AF, the effect of long-term treatm...

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ژورنال

عنوان ژورنال: Circulation

سال: 2004

ISSN: 0009-7322,1524-4539

DOI: 10.1161/01.cir.0000137963.28622.be