Key result
Early sinus rhythm control improves prognosis over rate control in patients with AF.
Why the study?
After 20 years of dubious notions of parity between sinus rhythm control and ventricular rate control strategies in atrial fibrillation, emerging evidence indicates the prognostic superiority of rhythm control.
Does an early sinus rhythm control strategy improve prognosis compared to a ventricular rate control strategy in patients with atrial fibrillation?
Does an early sinus rhythm control strategy improve prognosis compared to a ventricular rate control strategy in patients with atrial fibrillation?
This review highlights evidence supporting the prognostic superiority of early sinus rhythm control over rate control in patients with atrial fibrillation.
Supports early rhythm control consideration in AF; leaves open optimal timing and selection pending prospective trials.
After 20 years of dubious notions of parity between sinus rhythm control and ventricular rate control strategies in patients with atrial fibrillation, there is evidence of the prognostic superiority of the former. The review article presents the results of randomized trials that support early rhythm control in patients with atrial fibrillation, possible pharmacological and non-pharmacological methods of such treatment in real clinical practice.
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С. Г. Канорский (2023) conducted a review in Atrial fibrillation. Sinus rhythm control strategy vs. Ventricular rate control strategy was evaluated. Early sinus rhythm control strategy demonstrates prognostic superiority over ventricular rate control strategies in patients with atrial fibrillation based on reviewed randomized trials.
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