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Shadows on the Cave Wall: The Role of Transesophageal Echocardiography in Atrial Fibrillation

Bernard J. Gersh, MB, ChB, DPhil; and John S. Gottdiener, MD
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Georgetown University Medical Center Washington, DC 20007-2197. Requests for Reprints: Bernard J. Gersh, MB, ChB, DPhil, Georgetown University Medical Center, 3800 Reservoir Road NW, PHC-5, Washington, DC 20007-2197. Current Author Addresses: Drs. Gersh and Gottdiener: Georgetown University Medical Center, 3800 Reservoir Road NW, PHC-5, Washington, DC 20007-2197.

Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1995;123(11):882-884. doi:10.7326/0003-4819-123-11-199512010-00012
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Atrial fibrillation, the most common arrhythmia requiring therapy, affects 0.4% of the general population and 2% to 5% of persons older than the age of 60 years [13]. Moreover, atrial fibrillation has become the focus of renewed interest and investigation. Current management strategies include cardioversion and antiarrhythmic drugs to maintain sinus rhythm and the alternative approach of rate control. In the latter, the ventricular response is modified by the use of dromotropic drugs, catheter ablation, or radiofrequency modification of the atrioventricular node. In both strategies, anticoagulation or platelet inhibitor therapy is used for preventing embolic stroke.

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