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KMID : 1142120160180020129
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Journal of Stroke
2016 Volume.18 No. 2 p.129 ~ p.137
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The Mechanism of and Preventive Therapy for Stroke in Patients with Atrial Fibrillation
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Kim Young-Hoon
Roh Seung-Young
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Abstract
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Atrial fibrillation is a major cardiac cause of stroke, and a pathogenesis involving thrombus formation in patients with atrial fibrillation is well established. A strategy for rhythm control that involves catheter ablation and anticoagulation therapy is evolving. A strategy for rhythm control that restores and maintains sinus rhythm should reduce the risk of ischemic stroke that is associated with atrial fibrillation; however, this is yet to be proven in large-scale randomized controlled trials. This paper reviews the emerging role of rhythm control therapy for atrial fibrillation to prevent stroke.
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KEYWORD
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Atrial fibrillation, Ischemic stroke, Thromboembolism, Catheter ablation, Rhythm control
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