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Real-world utilizat...
Real-world utilization of the pill-in-the-pocket method for terminating episodes of atrial fibrillation : data from the multinational Antiarrhythmic Interventions for Managing Atrial Fibrillation (AIM-AF) survey
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- Reiffel, James A. (author)
- Columbia Univ, Dept Med, Div Cardiol, Vagelos Coll Phys & Surg, 202 Birkdale Lane, New York, NY 33458 USA.
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- Blomström-Lundqvist, Carina (author)
- Uppsala universitet,Kardiologi-arrytmi,Örebro Univ, Fac Med & Hlth, Sch Med Sci, Dept Cardiol, Örebro, Sweden.
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- Boriani, Giuseppe (author)
- Univ Modena & Reggio Emilia, Dept Biomed Metab & Neural Sci, Div Cardiol, Via Pozzo71, I-41124 Moderna, Italy.
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- Goette, Andreas (author)
- St Vincenz Hosp, Busdorf 2, D-33098 Paderborn, Germany.
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- Kowey, Peter R. (author)
- Thomas Jefferson Univ, Sidney Kimmel Med Coll, 1015 Walnut St, Philadelphia, PA 19107 USA.;Lankenau Heart Inst, 100 East Lancaster Ave, Wynnewood, PA 19096 USA.
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- Merino, Jose L. (author)
- La Paz Univ Hosp, Arrhythmia & Robot EP Unit, Madrid, Spain.;Univ Autonoma, Cardiol, IDIPAZ, Madrid, Spain.;La Paz Univ Hosp, Castellana Ave 261, Madrid 28046, Spain.
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- Piccini, Jonathan P. (author)
- Duke Univ, Duke Clin Res Inst, 300 West Morgan St, Durham, NC 27701 USA.
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- Saksena, Sanjeev (author)
- Rutgers Robert Wood Johnson Med Sch, Piscataway, NJ USA.;Electrophysiol Res Fdn, 161 Washington Valley Rd, Warren, NJ 07059 USA.
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- Camm, A. John (author)
- St Georges Univ Hosp, Blackshaw Rd, Tooting London SW17 0QT, England.
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Columbia Univ, Dept Med, Div Cardiol, Vagelos Coll Phys & Surg, 202 Birkdale Lane, New York, NY 33458 USA Kardiologi-arrytmi (creator_code:org_t)
- Oxford University Press, 2023
- 2023
- English.
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In: Europace. - : Oxford University Press. - 1099-5129 .- 1532-2092. ; 25:6
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Abstract
Subject headings
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- Aims: Atrial fibrillation (AF) is the most common sustained arrhythmia encountered in clinical practice. Episodes may stop spontaneously (paroxysmal AF); may terminate only via intervention (persistent AF); or may persist indefinitely (permanent AF) (see European and American guidelines, referenced below, for more precise definitions). Recently, there has been renewed interest in an approach to terminate AF acutely referred to as 'pill-in-the-pocket' (PITP). The PITP is recognized in both the US and European guidelines as an effective option using an oral antiarrhythmic drug for acute conversion of acute/recent-onset AF. However, how PITP is currently used has not been systematically evaluated.Methods and results: The recently published Antiarrhythmic Interventions for Managing Atrial Fibrillation (AIM-AF) survey included questions regarding current PITP usage, stratified by US vs. European countries surveyed, by representative countries within Europe, and by cardiologists vs. electrophysiologists. This manuscript presents the data from this planned sub-study. Our survey revealed that clinicians in both the USA and Europe consider PITP in about a quarter of their patients, mostly for recent-onset AF with minimal or no structural heart disease (guideline appropriate). However, significant deviations exist. See the Graphical abstract for a summary of the data.Conclusion: Our findings highlight the frequent use of PITP and the need for further physician education about appropriate and optimal use of this strategy.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- Atrial fibrillation
- Cardioversion
- Termination
- Pharmacologic
- Pill-in-the-pocket
Publication and Content Type
- ref (subject category)
- art (subject category)
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