Clinical Focus ›› 2016, Vol. 31 ›› Issue (1): 30-33.doi: 10.3969/j.issn.1004-583X.2016.01.008

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Progress of treatment strategy in atrial fibrillation with non-structural heart disease

Ding Chao   

  1. Department of Cardiology, Bethune International Peace Hospital, Shijiazhuang 050082, China
  • Received:2015-11-03 Online:2016-01-05 Published:2016-04-19
  • Contact: Ding Chao, Email: dingch2001@163.com

Abstract: Atrial fibrillation (AF) is one of the most common cardiac arrhythmias. Based on the symptom and duration, AF can be clinically classified into five types: first detected, paroxysmal, persistent, long-standing persistent and permanent AF. According to the haemodynamic condition and duration, rhythm-control strategy (conversion and maintenance of sinus rhythm), rate-control strategy and continuous anticoagulation strategy are optional. Non-vitamin K antagonist oral anticoagulants (NOACs) have been proposed as alternatives to vitamin K antagonists (VKAs). The status of catheter ablation improves gradually, especially for the paroxysmal AF with non-structural heart disease, and now catheter ablation has been considered as a first line treatment and may be prior to anti-arrhythmic drug therapy in symptomatic paroxysmal AF with non-structural heart disease.

Key words: atrial fibrillation, anticoagulants

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