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Case Studies with the Experts: Management Decisions in Atrial Fibrillation
Authors:ERIC N. PRYSTOWSKY,M.D.,PIERRE JAÏ  S,M.D.,&dagger  ,PETER KOWEY,M.D.,&Dagger  ,STANLEY NATTEL,M.D.,§  , JEREMY N. RUSKIN,M.D.,¶  
Affiliation:From The Care Group, Indianapolis, Indiana, USA;;Hôpital du Haut-Lévêque, Pessac, France;;Division of Cardiovascular Diseases, Main Line Health System, Wynnewood, Pennsylvania, USA;;University of Montreal and Montreal Heart Institute, Montreal, Quebec, Canada;;and Massachusetts General Hospital, Boston, Massachusetts, USA
Abstract:Atrial fibrillation (AF) is the most common outpatient arrhythmia. The recent ACC/AHA/ESC guidelines outline a variety of approaches to the management of AF, but their implementation into clinical practice requires multi-faceted patient evaluations and assessments for optimizing patient care. Using a case-based approach, issues such as rate versus rhythm control, anticoagulation, cardioversion, pharmacological and catheter ablation for maintenance of sinus rhythm, and the pathophysiology of AF are discussed. These data were originally presented at a satellite symposium titled Case Studies with the Experts: Management Decisions in AF , held on May 10, 2007, during the annual Heart Rhythm Society meeting.
Keywords:atrial fibrillation    catheter ablation    cardioversion    anticoagulation    antiarrhythmic drugs
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