Archives of cardiovascular diseases
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Arch Cardiovasc Dis · Oct 2013
Multicenter Study Comparative StudyPersistent atrial fibrillation presenting in sinus rhythm: pulmonary vein isolation versus pulmonary vein isolation plus electrogram-guided ablation.
The classification of atrial fibrillation as paroxysmal or persistent (PsAF) is clinically useful, but does not accurately reflect the underlying pathophysiology and is therefore a suboptimal guide to selection of ablation strategy. ⋯ The addition of EGM-guided ablation requires fewer procedures to achieve similar clinical efficacy in mid-term follow-up compared with a PVI-only strategy in patients with PsAF presenting for ablation in SR.
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Arch Cardiovasc Dis · Oct 2013
Multicenter StudyEvaluation of the impact of the recent controversy over statins in France: the EVANS study.
The effect of statins on the prevention of cardiovascular events is well-established. However, a recent controversy in France questioned the value of statins, especially in primary prevention. ⋯ Recent controversy over statins could induce a large proportion of patients to stop their medication and generate a large number of major cardiovascular events.