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Therapy Decided by Risk Factors

trial enlargement, and in whom drug treatments did not stop the rhythm disturbance,” Fuster said.

Depending on symptoms, controlling the heart rate may be the reasonable therapy in elderly patients with persistent AF who have hypertension or heart disease, according to the joint statement.

For people under age 70, especially those with recurrent AF and no evidence of underlying heart disease, rhythm control may be the preferred approach, starting with drugs and by means of catheter ablation if medication fails to stop the attacks. Both Fuster and Rydén emphasized that “Regardless of the approach, the need for anti-clotting therapy should still be based on stroke risk and not on whether proper heart rhythm is maintained.”

Source:Eurekalert
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