PMID: 9558692Apr 29, 1998Paper

Rhythm management in atrial fibrillation--with a primary emphasis on pharmacological therapy: Part 1

Pacing and Clinical Electrophysiology : PACE
M BlitzerJ A Reiffel

Abstract

Atrial fibrillation (AF) is the most common, sustained, symptomatic tachyarrhythmia that clinicians are called upon to manage. Management strategies include ventricular rate control coupled with anticoagulation, versus restoration and maintenance of sinus rhythm. Rate control may be achieved pharmacologically, with agents that impair AV nodal conduction directly and/or by increasing parasympathetic/sympathetic balance, or by modifying or ablating the AV nodal region anatomically. Rhythm control may be achieved by electrical or pharmacological conversion followed by maintenance of sinus rhythm by pharmacological (or occasionally ablative) therapies. This article will present current approaches to rate and rhythm control issues in AF. Part 1, the current manuscript, details approaches to rate control and includes a drug selection algorithmic conclusion. It also introduces the subject of the pursuit of sinus rhythm. Parts 2 and 3, to be published in subsequent editions of PACE, will deal with therapeutic measures to restore and maintain sinus rhythm.

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Citations

Mar 25, 2009·Antioxidants & Redox Signaling·Ge Gao, Samuel C Dudley
Mar 8, 2000·The American Journal of Nursing·R S Bubien
Jul 30, 2015·Journal of Cardiovascular Pharmacology·J Kevin Donahue
Nov 13, 2008·Current Problems in Cardiology·Michael D Faulx, Gary S Francis
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Jan 15, 2018·Journal of Interventional Cardiac Electrophysiology : an International Journal of Arrhythmias and Pacing·Pattara RattanawongEugene H Chung
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Mar 15, 2008·Critical Pathways in Cardiology·Leonard I Ganz

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