Atrial fibrillation is the most common sustained arrhythmiaand is associated with substantial morbidity and mortality.1Antiarrhythmic drug therapy is often ineffective and may causeserious adverse effects, including ventricular proarrhythmia.In the past decade, we have learned much about the electrical,mechanical, and structural remodeling that occurs as a resultof atrial fibrillation and that leads to more atrial fibrillation.1,2,3,4These adaptations include ionic and genomic alterations overthe short term and cellular changes over the medium term; fortunately,these effects may be reversible.2,3,4 Apoptosis and interstitialfibrosis develop over the longer term and are usually irreversible.2,3,4
From the Department of Cardiac Sciences, the University of Calgary and Calgary Health Region, and the Libin Cardiovascular Institute of Alberta, Calgary, AB, Canada.
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(2009). An Angiotensin-Receptor Blocker Fails to Prevent Atrial Fibrillation Recurrence. Journal Watch Cardiology
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