Randomized trial of rate-control versus rhythm-control in persistent atrial fibrillation
نویسندگان
چکیده
منابع مشابه
Rate 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 کاملRhythm or rate control in persistent atrial fibrillation
Selecting appropriate treatment strategies for patients with persistent atrial fibrillation has often proved to be a quandary. Foregoing any debate on anticoagulant therapy, the remaining issue is whether the ultimate goal should be achieving and maintaining sinus rhythm or simply controlling the ventricular response during ongoing atrial fibrillation. Since atrial fibrillation affects 5% of th...
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...
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 کاملA comparison of rate control and rhythm control in patients with recurrent persistent atrial fibrillation.
BACKGROUND Maintenance of sinus rhythm is the main therapeutic goal in patients with atrial fibrillation. However, recurrences of atrial fibrillation and side effects of antiarrhythmic drugs offset the benefits of sinus rhythm. We hypothesized that ventricular rate control is not inferior to the maintenance of sinus rhythm for the treatment of atrial fibrillation. METHODS We randomly assigned...
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ژورنال
عنوان ژورنال: Journal of the American College of Cardiology
سال: 2003
ISSN: 0735-1097
DOI: 10.1016/s0735-1097(03)00332-2