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The ultimate goal of these therapies is also likely to evolve beyond the conventional metric of time to first AF recurrence.

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In addition, many of these agents (in particular the class I medications) have fallen out of favor for treatment of arrhythmias in people, and as a consequence their availability and costs are becoming problematic.

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These guidelines attempt to define practices that meet the needs of most patients in most circumstances.

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All other physical examination results were normal however the patient got worse during the physical exam and condition deterioratedSource: Heitz, Cory.

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Efficacy and safety of dofetilide in the prevention of symptomatic episodes of paroxysmal supraventricular tachycardia: a 6-month double-blind comparison with propafenone and placebo.

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HAS-BLED is a risk score designed to predict the one year risk for major bleeding in AF patients and may be used to aid in clinical decision making regarding anticoagulation therapy.

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The role of electrophysiological testing and catheter ablation in asymptomatic patients with pre-excitation is controversial.

The CABANA Trial is designed to test the hypothesis that the treatment strategy of left atrial catheter ablation for the purpose of eliminating atrial fibrillation (AF) will be superior to current state-of-the-art therapy with either rate control or rhythm control drugs for decreasing the incidence of the composite endpoint of total mortality, disabling stroke, serious bleeding, or cardiac arrest in patients with untreated or incompletely treated AF.

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Randomization was stratified according to center and whether the qualifying arrhythmia had occurred while the patient was being treated with amiodarone or an AAD other than amiodarone.

American Heart Association Task Force on Practice Guidelines (Committee on Clinical Intracardiac Electrophysiologic and Catheter Ablation Procedures), developed in collaboration with the North American Society of Pacing and Electrophysiology.

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Another proposed strategy for reduction of inappropriate shocks from ICDs is the utilization of dual-chamber systems, as opposed to single-chamber ICDs, to take advantage of the atrial lead to improve rhythm discrimination.

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Part 6: electrical therapies: automated external defibrillators, defibrillation, cardioversion, and pacing: 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care.

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Although not all dysrhythmias are life-threatening, immediate treatment may be required to terminate dysrhythmia in the presence of alterations in cardiac output and tissue perfusion.

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Depending on your heart condition, your doctor may recommend trying intravenous or oral medications to return your heart to normal rhythm.

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Several smaller studies have shown that amiodarone is similar to quinidine and sotalol in the treatment of atrial fibrillation in these patients.

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Despite a relatively wide use of rhythm control in patients with the first detected episode, there is a reluctance to initiate long-term antiarrhythmic drug therapy for AF prevention in these patients after successful conversion to sinus rhythm.

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