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Updated: Jul 9, 2026

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation
Published on: February 28, 2012
Drug therapy for atrial fibrillation
Simone Musco1, Emily L Conway, Peter R Kowey
1Division of Cardiovascular Diseases, Main Line Heart Center, 556 Medical Office, Building East, 100 Lancaster Avenue, Wynnewood, PA 19096, USA.
Atrial fibrillation (AF) is a common heart rhythm disorder. Treatment strategies focus on rate control or rhythm maintenance, with new drugs under investigation for prevention and adjunctive therapy.
Area of Science:
- Cardiology
- Electrophysiology
- Pharmacology
Background:
- Atrial fibrillation (AF) is the most prevalent cardiac arrhythmia.
- AF incidence is rising due to an aging global population.
- Therapeutic approaches are tailored to rate control versus rhythm control.
Purpose of the Study:
- To review current and emerging pharmacologic therapies for atrial fibrillation.
- To discuss treatment strategies based on therapeutic goals (rate vs. rhythm control).
- To highlight novel drug development for AF prevention and management.
Main Methods:
- Literature review of current clinical practices and ongoing trials.
- Analysis of pharmacologic agents targeting AF mechanisms.
- Synthesis of evidence for new antiarrhythmic and anti-remodeling drugs.
Main Results:
- Treatment choice hinges on maintaining sinus rhythm or controlling ventricular rate.
- Novel antiarrhythmic drugs are under active clinical investigation.
- Agents targeting inflammation and remodeling show promise for AF prevention and adjunctive therapy.
Conclusions:
- Pharmacologic management of AF requires individualized strategies.
- Emerging therapies offer potential advancements in AF treatment and prevention.
- Further research is crucial to optimize the use of new drugs in AF management.
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