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November 16, 2020New England Journal of Medicine818 citationsOpen Access

Cryoablation or Drug Therapy for Initial Treatment of Atrial Fibrillation

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JAJason G. AndradeGWGeorge A. WellsMDMarc W. Deyell

Structured PICO

Does catheter cryoballoon ablation reduce atrial fibrillation recurrence in patients receiving initial treatment for symptomatic, paroxysmal atrial fibrillation?

P
Population
Patients receiving initial treatment for symptomatic, paroxysmal atrial fibrillation
I
Intervention
Catheter cryoballoon ablation
C
Comparator
Antiarrhythmic drug therapy
O
Outcome
Atrial fibrillation recurrence as assessed by continuous cardiac rhythm monitoring

Catheter cryoballoon ablation is more effective than antiarrhythmic drug therapy for preventing atrial fibrillation recurrence as an initial treatment strategy for symptomatic, paroxysmal atrial fibrillation.

Abstract

Among patients receiving initial treatment for symptomatic, paroxysmal atrial fibrillation, there was a significantly lower rate of atrial fibrillation recurrence with catheter cryoballoon ablation than with antiarrhythmic drug therapy, as assessed by continuous cardiac rhythm monitoring. (Funded by the Cardiac Arrhythmia Network of Canada and others; EARLY-AF ClinicalTrials.gov number, NCT02825979.).

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Cite This Study

Andrade et al. (2020) studied this question.

synapsesocial.com/papers/69dd4e825ea84e5556101335https://doi.org/10.1056/nejmoa2029980
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