Treatment
Figure 5. Pharmacological Management of Patients With
Newly Discovered AF
Newly discovered AF
Paroxysmal
No therapy needed unless
significant symptoms (eg,
hypotension, HF, angina
pectoris)
Anticoagulation as needed
Persistent
Accept
permanent AF
Rate control and
anticoagulation as
needed
Anticoagulation
and rate control
as needed
Consider
antiarrhythmic
drug therapy
Cardioversion
Long-term
antiarrhythmic
drug therapy as
necessary
Reproduced from Fuster V, et al. Circulation. 2011;123:e269-367.
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