[Paroxysmal atrial fibrillation: which anti-arrhythmic treatment?].
Only symptomatic patients with paroxysmal AF will be prescribed anti-arrhythmic drugs in order to prevent recurrences. Anti-arrhythmic drugs' efficacy in maintaining sinus rhythm is around 50 to 70 % at one year. Anti-arrhythmic drug prescription is associated with potentially life-threatening pro-arrhythmic effects. Anti-arrhythmic drug prescription should be tailored to each patient after carefully evaluating the risk/benefit ratio. Pulmonary veins isolation might be proposed in case of symptomatic paroxysmal AF after failure of anti-arrhythmic drug therapy.
Extramiana
Fabrice
F
Service de cardiologie, hôpital Lariboisière, AP-HP, 75475 Paris cedex 10, France. fabrice.extramiana@lrb.aphp.fr
Messali
Anne
A
Moubarak
Ghassan
G
Leenhardt
Antoine
A
D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D001281:Atrial Fibrillation / Q000188:drug therapy* / Q000503:physiopathology; D006801:Humans
D000889:Anti-Arrhythmia Agents