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European Heart Journal Advance Access published online on August 6, 2007

European Heart Journal, doi:10.1093/eurheartj/ehm330
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Published by Oxford University Press on behalf of The European Society of Cardiology 2007

Reduced myocardial perfusion in atrial fibrillation: when the egg comes before the chicken

Mark C. Haigney*

Division of Cardiology, Department of Medicine, Edward F. Hebert School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD 20814, USA

* Corresponding author. Tel: + 1 301 295 3826; fax: + 1 301 295 3557 E-mail address: mhaigney@usuhs.edu

This editorial refers to ‘Impaired myocardial perfusion and perfusion reserve associated with increased coronary resistance in persistent idiopathic atrial fibrillation’ by F. T. Range et al., doi:10.1093/eurheartj/ehm246

The first 10% of the full text of this article appears below.

Atrial fibrillation (AF) is the most common arrhythmia requiring clinical intervention, and yet critical gaps persist in our understanding of AF mechanisms as well as the implications of this condition for afflicted individuals. AF appears to be associated with a significantly worse prognosis, yet it has remained problematic whether the shortened life expectancy is due to the AF or due to the condition causing the AF. The most recent guidelines from the European Society of Cardiology list 13 categories of conditions associated with an increased risk for AF, one of which is the familiar but uninformative ‘idiopathic’.1 Many of the maladies . . . [Full Text of this Article]


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Related articles in EHJ:

Impaired myocardial perfusion and perfusion reserve associated with increased coronary resistance in persistent idiopathic atrial fibrillation
Felix T. Range, Michael Schäfers, Tayfun Acil, Klaus P. Schäfers, Peter Kies, Matthias Paul, Sven Hermann, Betty Brisse, Günter Breithardt, Otmar Schober, and Thomas Wichter
EHJ 2007 28: 2223-2230. [Abstract] [FREE Full Text]