Key result
Novel pharmacological and non-pharmacological therapies, including direct thrombin inhibitors, factor Xa inhibitors, and advanced ablation techniques, offer promising alternatives to traditional treatments for atrial fibrillation.
This review summarizes current and emerging pharmacological and non-pharmacological treatments for atrial fibrillation, including novel anticoagulants, anti-arrhythmics, and genetic factors.
Should not yet change atrial fibrillation practice; leaves open the need for randomized trials of novel therapies.
Atrial fibrillation is the most common cardiac arrhythmia and is a major risk factor for stroke, heart failure, and death. Current treatments focus on anti-coagulation as well as rate-control and rhythm-control strategies. Frequent INR checks associated with warfarin along with several adverse side effects of anti-arrhythmics have propelled investigations into novel treatments for atrial fibrillation. Research is focused not only on pioneering new pharmacological antico- agulation and anti-arrhythmic agents but also on improving surgical techniques in hopes of treating the arrhythmia. Here, we first briefly discuss the current treatment options, both pharmacological and non-pharmacological, for atrial fibrillation. We then present a focused review of recent animal and human investigations that examine the use of novel an-ticoagulation agents, mechanisms of new anti-arrhythmics, analyze potential triggers of atrial fibrillation, and highlight the role of genetics in atrial fibrillation.
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Parikh et al. (2012) conducted a review in Atrial fibrillation. Novel therapies (anticoagulants, anti-arrhythmics, surgical/ablation procedures) was evaluated. Novel pharmacological and non-pharmacological therapies, including direct thrombin inhibitors, factor Xa inhibitors, and advanced ablation techniques, offer promising alternatives to traditional treatments for atrial fibrillation.
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