[Atrial fibrillation. Monitoring of rhythm versus monitoring of ventricular response].
Atrial fibrillation is the most frequent supraventricular arrhythmia. The goals for the treatment of this arrhythmia are symptom control and reducing cardiovascular morbidity and mortality. In elderly patients with no symptoms we must indicate therapy based on rate control. On the other side, in young patients without heart disease, those very symptomatic or if atrial fibrillation causes a significant hemodynamic and functional deterioration we must try, at least initially, a strategy of maintaining sinus rhythm. In the future, we hope that the development of new anti-arrhythmic drugs safer and more effective, and refining catheter ablation will lead to increased therapeutic efficacy in patients with atrial fibrillation.
Hernández Madrid
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Unidad de Arritmias, Hospital Ramón y Cajal, Madrid, España. antoniomadri@gmail.com
Matía Francés
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D001281:Atrial Fibrillation / Q000503:physiopathology / Q000628:therapy*; D006339:Heart Rate; D006801:Humans; D016276:Ventricular Function