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10.1161/CIRCRESAHA.114.302362

http://scihub22266oqcxt.onion/10.1161/CIRCRESAHA.114.302362
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C4169264!4169264!24763469
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suck abstract from ncbi


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pmid24763469      Circ+Res 2014 ; 114 (9): 1532-46
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  • AF Therapy Now and in the Future: Drugs, Biologicals, and Ablation #MMPMID24763469
  • Woods CE; Olgin J
  • Circ Res 2014[Apr]; 114 (9): 1532-46 PMID24763469show ga
  • Rationale: Atrial fibrillation (AF) is a complex disease with multiple interrelating causes culminating in rapid, seemingly disorganized atrial activation. Therapy targeting AF is rapidly changing and improving. Objective: The purpose of this review is to summarize current state-of-the-art diagnostic and therapeutic modalities for treatment of atrial fibrillation. The review focuses on reviewing treatment as it relates to the pathophysiological basis of disease and reviews pre-clinical and clinical evidence for potential new diagnostic and therapeutic modalities, including imaging, biomarkers, pharmacologic therapy as well as ablative strategies for AF. Conclusions: Current ablation and drug therapy approaches to treating AF are largely based on treating the arrhythmia once the substrate occurs and is more effective in paroxysmal AF rather than persistent or permanent AF. However, there is much research aimed at prevention strategies, targeting AF substrate?so called upstream therapy. Improved diagnostics, using imaging, genetics and biomarkers are needed to better identify sub-types of AF based on underlying substrate/mechanism to allow more directed therapeutic approaches. In addition, novel anti-arrhythmics with more atrial specific effects may reduce limiting pro-arrhythmic side-effects. Advances in ablation therapy are aimed at improving technology to reduce procedure time and in mechanism targeted approaches.
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