Abstract
It goes without saying that if we could prevent atrial fibrillation (AF) or restore and maintain sinus rhythm in patients suffering from AF, without any penalties due to the unwanted effects of drugs or incomplete suppression of AF and its thromboembolic complications, every physician would do so. At present, we cannot do this, and a raft of recent well-performed trials inform us that we should be satisfied with ventricular rate control and anticoagulation, despite inadequate knowledge about the control of heart rate and huge practical obstacles to safe and effective anticoagulation.1–3
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