Current Cardiology Reports

, Volume 5, Issue 5, pp 358–363

Evolving concepts in the treatment of atrial fibrillation

  • Parimal B. Maniar
  • Jonathan S. Steinberg

DOI: 10.1007/s11886-003-0091-3

Cite this article as:
Maniar, P.B. & Steinberg, J.S. Curr Cardiol Rep (2003) 5: 358. doi:10.1007/s11886-003-0091-3


Atrial fibrillation (AF) is common among older adults, and its prevalence is increasing due to an aging population. This article reviews the recent insights into the mechanisms of AF, new developments in pharmacologic and nonpharmacologic therapy, and the impact of recent randomized clinical trials in the management of AF. Randomized clinical trials have shown that rhythm control with antiarrhythmic drugs offers no advantage over rate control for the prevention of death and cardiovascular morbidity. Catheter ablation of AF may play an increasingly important role in the future.

Copyright information

© Current Science Inc. 2003

Authors and Affiliations

  • Parimal B. Maniar
    • 1
  • Jonathan S. Steinberg
    • 1
  1. 1.Division of CardiologySt. Luke’s-Roosevelt Hospital CenterNew YorkUSA

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