Copyright © 2003 by the European Society of Cardiology.
Editorial
The patient takes charge long term use of the atrial defibrillator
John Radcliffe Hospital, Oxford, UK
* Correspondence to: Dr A. J. Mitchell, Department of Cardiac Rhythm Management, John Radcliffe Hospital, Oxford OX3 9DU, UK. Tel: +44 1865 220891; fax: +44 1865 221432
E-mail address: mitcharj@doctors.org.uk
Received 11 September 2003; accepted 19 September 2003
| The first 10% of the full text of this article appears below. |
See doi:10.1016/j.ehj.2003.09.033for the article to which this editorial refers
Atrial fibrillation (AF) is an increasing cause of both morbidity and mortality and over recent years hospitalizations due to the arrhythmia have risen dramatically.1For elderly patients with asymptomatic persistent AF, both rate control and rhythm control have been shown to be effective strategies.2For the younger or more symptomatic patient however, the main objectives remain the restoration and maintenance of sinus rhythm. Cardioversion of AF restores sinus rhythm in 8590% of patients, yet there is a high relapse rate, with only a quarter of patients maintaining sinus rhythm at 1 year without the continued use of antiarrhythmic
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