Article Text

A practical approach to the management of patients with atrial fibrillation
  1. Christopher J McLeod,
  2. Bernard J Gersh
  1. Division of Cardiovascular Diseases, Mayo Clinic, Rochester, Minnesota, USA
  1. Correspondence to Dr Christopher J McLeod, Division of Cardiovascular Diseases, Mayo Clinic, 200 First Street, SW, Rochester, MN 55905, USA; mcleod.christopher{at}


Atrial fibrillation is the most commonly encountered clinical arrhythmia and continues to grow in incidence. Current management involves highly individualised therapies based on underlying concomitant disease processes and symptoms. Moreover, there are numerous therapeutic permutations involving anticoagulation, rate-limitation and antiarrhythmic strategies. This review serves to update the clinician with a practical approach to each patient population and on current advances in management.

  • Atrial fibrillation
  • clinical arrhythmias

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  • Competing interests None.

  • Provenance and peer review Commissioned; externally peer reviewed.

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