Long-term management of patients with atrial fibrillation: Selection of rhythm versus rate control

In some patients who strongly prefer to be in SR, regardless of age or comorbidities, we pursue a rhythm control strategy. Regardless of strategy, it is important to assess need for anticoagulation based on patient's risk factors for thromboembolic events and bleeding risk (ie, CHADS2-VASCc score). Refer to related UpToDate content for further information.

AF: atrial fibrillation; SR: sinus rhythm.

* High risk for cardiovascular disease includes >75 years of age, prior transient ischemic attack or stroke, or two of the following criteria: age >65 years, female sex, heart failure, hypertension, diabetes, severe coronary artery disease, chronic kidney disease, and left ventricular hypertrophy (diastolic septal wall width >15 mm). A patient at low risk for cardiovascular disease includes everyone else not at high risk.

¶ An unsuccessful cardioversion will not result in conversion to SR or only short duration in SR. AF recurrence occurs later, not immediately after cardioversion

Δ Refer to related UpToDate content for further information.

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خرید پکیج

Long-term management of patients with atrial fibrillation: Selection of rhythm versus rate control