Synapse
⌘+K
Synapse
PulseExploreClubsResearchersJournals
Instagram
HomeClubsExplore
December 12, 2007EP EuropaceOpen Access

Delayed rhythm control of atrial fibrillation may be a cause of failure to prevent recurrences: reasons for change to active antiarrhythmic treatment at the time of the first detected episode

View Full Paper
Ask AI
Bookmark
Share

Why the study?

Does early rhythm control and aggressive treatment of associated conditions at the first detected episode of atrial fibrillation improve maintenance of sinus rhythm compared to delayed intervention?

Population

Patients with a first-detected episode of atrial fibrillation

Comparison

Early rhythm control and aggressive treatment of… vs Current management approach

Design

Guideline

Authors

FCFrancisco G. CosíoUniversidad EuropeaEAE. AliotCentre Hospitalier Régional et Universitaire de NancyGBGianluca BottoRainbow Health Ontario

Discussion

Loading...

Member takes

Implication

May prompt earlier rhythm control plus risk-factor management in new AF; leaves open need for confirmatory trials.

Structured PICO

Does early rhythm control and aggressive treatment of associated conditions at the first detected episode of atrial fibrillation improve maintenance of sinus rhythm compared to delayed intervention?

P
Population
Patients with a first-detected episode of atrial fibrillation
I
Intervention
Early rhythm control (sinus rhythm restoration) and aggressive treatment of associated conditions (e.g., hypertension, sleep apnoea, obesity) at the time of the first detected episode
C
Comparator
Current management approach (delayed rhythm control or rate control)
O
Outcome
Maintenance of stable sinus rhythm and prevention of recurrences

This position paper proposes the hypothesis that early rhythm control and aggressive management of risk factors at the first detected AF episode may prevent long-term failure to maintain sinus rhythm.

Cite This Study

Cosío et al. (2007) studied this question.

synapsesocial.com/papers/6a7dd9407b274e93dd14fed2https://doi.org/10.1093/europace/eum276

Topics

Persistent AF managementAtrial fibrillationAnticoagulation in AFAF ablation outcomes
View Full Paper
Ask AI
Bookmark
Share

Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Increased Extracellular Collagen Matrix in Myocardial Sleeves of Pulmonary Veins: An Additional Mechanism Facilitating Repetitive Rapid Activities in Chronic Pacing‐Induced Sustained Atrial Fibrillation2005 · 27 citations
  2. 2Factors Influencing Long Term Persistence of Sinus Rhythm After a First Electrical Cardioversion for Atrial Fibrillation1998 · 69 citations
  3. 3Relationships Between Sinus Rhythm, Treatment, and Survival in the Atrial Fibrillation Follow-Up Investigation of Rhythm Management (AFFIRM) Study2004 · 1,219 citations
  4. 4A Comparison of Rate Control and Rhythm Control in Patients with Atrial Fibrillation2002 · 4,441 citations
  5. 5Impact of Atrial Fibrillation on the Risk of Death1998 · 4,612 citations