Document Detail


Management of atrial fibrillation.
MedLine Citation:
PMID:  17619664     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Atrial fibrillation affects a significant proportion of the Australian population, affecting approximately 5% of people over 65 years of age. OBJECTIVE: This article provides an approach to the management of this common arrhythmia. DISCUSSION: During initial assessment, it is important to identify and treat any comorbid conditions that may contribute to atrial fibrillation. The clinician must then determine an appropriate anticoagulation regimen and choice of either a rate or rhythm control approach. Anticoagulation can be with either warfarin or aspirin, with the decision based on an assessment of the patient's thromboembolic risk. Rate and/or rhythm control can be achieved pharmacologically, with device based therapy or with newer catheter ablation techniques. A combination of these differing approaches may be required in patients in whom it is difficult to achieve and maintain therapeutic goals.
Authors:
Peter M Kistler; Jonathon Habersberger
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Australian family physician     Volume:  36     ISSN:  0300-8495     ISO Abbreviation:  Aust Fam Physician     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-07-10     Completed Date:  2007-08-14     Revised Date:  2008-01-08    
Medline Journal Info:
Nlm Unique ID:  0326701     Medline TA:  Aust Fam Physician     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  506-8, 511     Citation Subset:  IM    
Affiliation:
Department of Cardiology, The Alfred Hospital, Melbourne, Victoria, Australia. peter.kistler@baker.edu.au
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MeSH Terms
Descriptor/Qualifier:
Adrenergic beta-Antagonists / therapeutic use*
Aged
Anticoagulants / contraindications,  therapeutic use*
Atrial Fibrillation / complications,  diagnosis,  drug therapy*
Electrocardiography
Humans
Stroke / etiology
Chemical
Reg. No./Substance:
0/Adrenergic beta-Antagonists; 0/Anticoagulants
Comments/Corrections
Comment In:
Aust Fam Physician. 2007 Oct;36(10):791   [PMID:  18046781 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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