title: [Paroxysmal atrial fibrillation: which anti-arrhythmic treatment?].
abstract: 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.
authors.affiliation: Service de cardiologie, hôpital Lariboisière, AP-HP, 75475 Paris cedex 10, France. fabrice.extramiana@lrb.aphp.fr
authors.forename: Fabrice
authors.initials: F
authors.lastname: Extramiana
authors.forename: Anne
authors.initials: A
authors.lastname: Messali
authors.forename: Ghassan
authors.initials: G
authors.lastname: Moubarak
authors.forename: Antoine
authors.initials: A
authors.lastname: Leenhardt
mesh_terms: D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use*; D001281:Atrial Fibrillation / Q000188:drug therapy* / Q000503:physiopathology; D006801:Humans
chemical_list: D000889:Anti-Arrhythmia Agents