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European Heart Journal 2004 25(15):1274-1276; doi:10.1016/j.ehj.2004.06.007
Copyright © 2004 by the European Society of Cardiology.
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Editorial

Pharmacological cardioversion of recent onset atrial fibrillation

Ijaz A Khan*

Division of Cardiology, University of Maryland School of Medicine, Baltimore, MD, USA

* Correspondence to: Ijaz A. Khan, Division of Cardiology, University of Maryland School of Medicine, 22 South Greene Street, S3B06, Baltimore, MD 21201, USA. Tel.: +1-410-328-2251; fax: +1-410-328-2255
E-mail address: ikhan@medicine.umaryland.edu

The first 150 words of the full text of this article appear below.

This editorial refers to "Flecainide versus ibutilide for immediate cardioversion of atrial fibrillation of recent onset"1 by J. Reisinger et al. on page 1318

Atrial fibrillation is the most common, clinically relevant arrhythmia with a prevalence of about 2% in the general population. The symptoms in atrial fibrillation are primarily caused by fast ventricular rates, which can be controlled by using the atrio-ventricular node blocking drugs or, even more effectively, by converting atrial fibrillation to sinus rhythm. Although the traditional treatment options available to treat atrial fibrillation are rhythm control versus ventricular rate control, the best method to control ventricular rate, however, is by conversion to sinus rhythm. Even though the reported rate of spontaneous conversion is up to 50%, in the first 24 h after the onset of atrial fibrillation, the earlier restoration of sinus rhythm by cardioversion will result in an early alleviation of the patient's symptoms, will . . . [Full Text of this Article]


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Related articles in EHJ:

Flecainide versus ibutilide for immediate cardioversion of atrial fibrillation of recent onset
Johann Reisinger, Edmund Gatterer, Wolfgang Lang, Thetis Vanicek, Geza Eisserer, Theresia Bachleitner, Christopher Niemeth, Friedrich Aicher, Wilhelm Grander, Georg Heinze, Peter Kühn, and Peter Siostrzonek
EHJ 2004 25: 1318-1324. [Abstract] [Full Text]  



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