Atrial fibrillation: rate control versus maintenance of sinus rhythm.


Journal Article (Review)

Atrial fibrillation is a common tachyarrhythmia encountered in clinical practice. Management has become increasingly complex as the therapeutic options have multiplied. Two basic strategies are available: rhythm control with or without pharmacologic manipulation, and rate control with anticoagulation. To date, no randomized controlled trial that compares the two strategies has been completed, although the Atrial Fibrillation Follow-Up Investigation of Rhythm Management (AFFIRM) trial is underway. This review outlines the rationale for each of the two basic treatment strategies, providing an overview of the advantages and disadvantages of each. Included are clinical criteria used in selecting the appropriate treatment plan.

Full Text

Duke Authors

Cited Authors

  • Donahue, TP; Conti, JB

Published Date

  • January 2001

Published In

Volume / Issue

  • 16 / 1

Start / End Page

  • 46 - 53

PubMed ID

  • 11124718

Pubmed Central ID

  • 11124718

International Standard Serial Number (ISSN)

  • 0268-4705

Digital Object Identifier (DOI)

  • 10.1097/00001573-200101000-00007


  • eng

Conference Location

  • United States