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J Am Coll Cardiol, 2004; 43:1201-1208, doi:10.1016/j.jacc.2003.11.032
© 2004 by the American College of Cardiology Foundation
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The Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM) study

Approaches to control rate in atrial fibrillation

Brian Olshansky, MD, FACC*,*, Lynda E. Rosenfeld, MD, FACC{dagger}, Alberta L. Warner, MD, FACC{ddagger}, Allen J. Solomon, MD, FACC§, Gearoid O'Neill, MD, FACC||, Arjun Sharma, MD, FACC||, Edward Platia, MD, FACC, Gregory K. Feld, MD, FACC#, Toshio Akiyama, MD, FACC**, Michael A. Brodsky, MD, FACC{dagger}{dagger}, H. Leon Greene, MD, FACC{ddagger}{ddagger} AFFIRM Investigators§§

* University of Iowa, Iowa City, Iowa, USA
{dagger} Yale University School of Medicine, New Haven, Connecticut, USA
{ddagger} West Los Angeles Veterans Administration Medical Center, Los Angeles, California, USA
§ Georgetown University Medical Center, Washington, DC, USA
|| Sutter Institute for Medical Research, Sacramento, California, USA
Washington Hospital Center, Washington, DC, USA
# University of California, San Diego, California, USA
** University of Rochester, Rochester, New York, USA
{dagger}{dagger} University of California at Irvine, Irvine, California, USA
{ddagger}{ddagger} University of Washington and Axio Research Corporation, Seattle, Washington, USA



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Figure 1 Time to discontinuation of rate-control therapy. Patients are classified by whether they started therapy on a beta-blocker (with or without digoxin), calcium channel blocker (with or without digoxin), or digoxin alone. Time zero is the day of randomization into the main AFFIRM study.

 


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Figure 2 Rate control throughout the AFFIRM study. Time zero is the day of randomization. Rate control improved throughout the study.

 




 
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