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JCOM Abstract

J Clin Outcomes Manage 
2013 Apr;20(4):162-180
Evaluation and management of new-onset atrial fibrillation
Aleong RG, Varosy PD

Abstract Objective: To review the evaluation and management of new-onset atrial fibrillation (AF). Methods: Review of relevant scientific literature and clinical/professional society guidelines addressing AF. Results: AF is growing in prevalence with the aging of the population and the increasing prevalence of heart failure. The initial evaluation of patients with new-onset AF should include investigation of reversible causes and assessment of the patientís underlying cardiac function. Key areas in the management of new-onset AF include reducing the risk of systemic thromboembolism, control of ventricular rates, and rhythm control. Maintenance of sinus rhythm with antiarrhythmic medications or ablation represents a treatment goal in patients who remain symptomatic after stroke risk reduction has been addressed and attempts at adequate rate control have been made. Conclusion: AF is common and poses challenges for clinicians, but modern treatment strategies can successfully address stroke risk and effectively manage symptoms.

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