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Boersma, L.V., Castella, M., van Boven, W., Berruezo, A., Yilmaz, A., Nadal, M., et al. (2012) Atrial fibrillation catheter ablation versus surgical ablation treatment (FAST): A 2-center randomized clinical trial. Circulation, 125, 23-30. doi:10.1161/CIRCULATIONAHA.111.074047
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TITLE:
Novel therapies for treating atrial fibrillation
AUTHORS:
Raj Parikh, Philip J. Kadowitz
KEYWORDS:
Atrial Fibrillation; Atrial Flutter; Arrhythmia;Anticoagulation; Stroke
JOURNAL NAME:
World Journal of Cardiovascular Diseases,
Vol.2 No.4,
October
30,
2012
ABSTRACT: Atrial fibrillation is the most common cardiac arrhythmia and is a major risk factor for stroke, heart failure, and death. Current treatments focus on anti-coagulation as well as rate-control and rhythm-control strategies. Frequent INR checks associated with warfarin along with several adverse side effects of anti-arrhythmics have propelled investigations into novel treatments for atrial fibrillation. Research is focused not only on pioneering new pharmacological antico- agulation and anti-arrhythmic agents but also on improving surgical techniques in hopes of treating the arrhythmia. Here, we first briefly discuss the current treatment options, both pharmacological and non-pharmacological, for atrial fibrillation. We then present a focused review of recent animal and human investigations that examine the use of novel an-ticoagulation agents, mechanisms of new anti-arrhythmics, analyze potential triggers of atrial fibrillation, and highlight the role of genetics in atrial fibrillation.