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For patients with AF without mechanical heart valves who require interruption of warfarin or new anticoagulants for procedures, decisions about bridging therapy (LMWH or unfractionated heparin) should balance the risks of stroke and bleeding and the duration of time a patient will not be anticoagulated.

Consider documentation of a hold on an antiarrhythmic drug after discharge in one location and a listing of that antiarrhythmic drug as a discharge medication in another location as contradictory ONLY if the timeframe on the hold is not defined (e.

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Long-term management of atrial fibrillation is focused on reducing the likelihood of AF recurrence, reducing AF-related symptoms, control of ventricular rate, and reducing stroke risk.

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After the failure of the first rhythm control drug, most centres would insist on rhythm control with the majority (65%) trying another rhythm control drug or referring the patient for AF ablation (35%).

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When citing this document, the American College of Cardiology Foundation, the American Heart Association, and the European Society of Cardiology request that the following citation format be used: Blomström-Lundqvist C, Scheinman MM, Aliot EM, Alpert JS, Calkins H, Camm AJ, Campbell WB, Haines DE, Kuck KH, Lerman BB, Miller DD, Shaeffer CW, Stevenson WG, Tomaselli GF.

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