Atrial fibrillation: rate control versus maintenance of sinus rhythm
作者:
Timothy Donahue,
Jamie Conti,
期刊:
Current Opinion in Cardiology
(OVID Available online 2001)
卷期:
Volume 16,
issue 1
页码: 46-53
ISSN:0268-4705
年代: 2001
出版商: OVID
数据来源: OVID
摘要:
Atrial fibrillation is a common tachyarrhythmia encountered in clinical practice. Management has become increasingly complex as the therapeutic options have multiplied. Two basic strategies are available: rhythm control with or without pharmacologic manipulation, and rate control with anticoagulation. To date, no randomized controlled trial that compares the two strategies has been completed, although the Atrial Fibrillation Follow-Up Investigation of Rhythm Management (AFFIRM) trial is underway. This review outlines the rationale for each of the two basic treatment strategies, providing an overview of the advantages and disadvantages of each. Included are clinical criteria used in selecting the appropriate treatment plan.
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