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Paper Chase #2 - Early Rhythm-Control Therapy in Patients with A-Fib

Tom Robertson, MD and Steve Biederman, MD
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Early rhythm control therapy was associated with a lower risk of adverse cardiovascular outcomes than usual care among patients with early atrial fibrillation and cardiovascular conditions

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Kimberly B. -

I was wondering if you could define what “early“ rhythm control means? Do I need to start them on rhythm control the first time I see them? How long can they wait to see the cardiologist? Where I live we have a visiting cardiologist every couple of months or they can travel by commercial airline to see a cardiologist. Thank you!

Neda F., MD -

Hi Kimberly! Here is Steve's response: "Wow, that sounds incredibly challenging, and makes defining 'early' rhythm control quite important. For this study, participants were included if they had been diagnosed with afib in the past year. And in the study, the median time since diagnosis of afib came out to like 36 days. Bottom line is that this article is NOT suggesting you necessarily need to initiate rhythm control right away. Waiting a couple months would be appropriate and still within the window of this study. Possibly further research will hone in on a more optimal time, but at least so far, 'early control' was defined over a course of a year." Hope this helps!

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Hippo Primary Care January 2021 Written Summary 437 KB - PDF

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