Copyright © 2007, European Society of Cardiology
Rhythm control for atrial fibrillation: Non-channel antiarrhythmic drugs are en vogue
Department of Cardiology, Thoraxcenter, University Medical Center Groningen, University of Groningen, P.O. Box 30.001, 9700 RB Groningen, The Netherlands
* Tel.: +31 (0)50 3611327; fax: +31 (0)50 3614391. Email address: I.C.van.Gelder@thorax.umcg.nl
Received 12 February 2007; accepted 12 February 2007
| The first 10% of the full text of this article appears below. |
See article by Shiroshita-Takeshita et al. (pages 75–84) in this issue.
Atrial fibrillation (AF) is the most common cardiac arrhythmia. Independent risk factors for AF are chronic heart failure and hypertension [1]. The incidence and prevalence of AF increase with the severity of chronic heart failure. Although recent trials showed that rate control can be adopted as first choice therapy [2], rhythm control still is the primary goal. Whether this also holds for patients with chronic heart failure is at present unsettled, but obviously, these patients would benefit most from sinus rhythm since with restoration and maintenance of sinus rhythm, left ventricular function, exercise capacity and maximal oxygen consumption may improve. At present, the cornerstone for rhythm-control therapy is serial ion-channel antiarrhythmic drug treatment with or
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