EDITORIAL COMMENT Restoring Sinus Rhythm in Atrial Fibrillation

نویسندگان

  • A Pyrrhic Victory
  • Paul Dorian
چکیده

Atrial fibrillation (AF), at the very least, is a fruitful subject for both the clinician and basic scientist. Since 1965, PubMed has listed 6,329 publications with “atrial fibrillation” in the title, with 1,235 such articles between January 2001 and December 2002. In light of the Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) parent study (1), which showed that in patients with AF and a risk of stroke, the strategy of restoring and maintaining sinus rhythm was not superior to the strategy of rate control, one must ask whether the relative efficacy of different drugs used to restore and maintain sinus rhythm is a topic worth discussion.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

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...

متن کامل

Disappointing success of electrical cardioversion for new-onset atrial fibrillation in cardiosurgical ICU patients

OBJECTIVES To assess the success of electrical cardioversion for the treatment of new-onset atrial fibrillation in critically ill patients and to evaluate the stability of sinus rhythm in responders during the subsequent 24 hours. DESIGN Retrospective study. SETTING Twelve-bed cardiosurgical ICU at a university hospital. PATIENTS Seventy-two consecutive patients with postoperative new-ons...

متن کامل

Intravenous Methylprednisolone, a Possible Cause of the Atrial Fibrillation

       We are presenting a case illustrating atrial fibrillation (AF) following the use of methylprednisolone in a patient with pelvic and femur fracture. A 48- year- old man with no significant past medical history, was admitted to the emergency department after injury in a car accident. He suffered a multiple bone fracture with chief complaints of pain and shortness of breath. He was transfer...

متن کامل

Recovery of atrial systolic function after pharmacological conversion of chronic atrial fibrillation to sinus rhythm: a Doppler echocardiographic study.

OBJECTIVE To evaluate the time course of the recovery of atrial mechanical function after pharmacological cardioversion of chronic atrial fibrillation to sinus rhythm. PATIENTS AND METHODS 21 patients (12 male, 9 female, aged 37-77 years) with chronic atrial fibrillation (< 6 months) were followed up by serial transmitral pulsed Doppler echocardiography. Echocardiographic studies were perform...

متن کامل

Facilitating influence of procainamide on conversion of atrial flutter by rapid atrial pacing.

In a prospective, double-blind, randomized, placebocontrolled study we investigated the facilitating influence of intravenous procainamide on conversion of atrial flutter by rapid atrial pacing. Fifty consecutive patients with spontaneous sustained atrial flutter were 1:1 randomized into two homogenous groups: group A received 10 mg.kg-1 procainamide intravenously, group B placebo. After infusi...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره   شماره 

صفحات  -

تاریخ انتشار 2016