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The second possibility is that a subclinical degree of tricuspid regurgitation led to hypertrophy and dilatation of the left atrium and precipitated atrial fibrillation.
The second apical diastolic murmur he described was the murmur of mitral stenosis that changed when "total arrhythmia" or "auricular" fibrillation appeared.
Patients prone to claustrophobia, and those with a pacemaker or atrial fibrillation were excluded.
In 1992, at the age of 56, his exercise tolerance diminished after the onset of atrial fibrillation.
In addition, anticoagulation should be considered in all patients who have heart failure and atrial fibrillation.
Patients with paroxysmal or chronic atrial fibrillation that is ill tolerated and drug refractory are selected for pacing (11;21;39).
There were 3 episodes of recurrent atrial fibrillation or flutter; antiarrhythmic agents restored sinus rhythm in all.
He calculated that 4.2 cases of sub-clinical hyperthyroidism would be needed to identify one patient with undiagnosed atrial fibrillation over a period of 10 years.
Three developed transient atrial fibrillation that required emergency cardioversion in one (case 8) and intravenous amiodarone in two (cases 9 and 10).
With mitral stenosis there is an increased risk of atrial fibrillation, thromboembolism and pulmonary oedema.
Bleeding during anti-thrombotic therapy in patients with atrial fibrillation.
All patients were in sinus rhythm except for two with atrial fibrillation.
Underutilization of warfarin in older persons with chronic nonvalvular atrial fibrillation at high risk for developing stroke.
Atrial fibrillation is encountered in 2% of patients over 65 and 5% of patients over 75 (12).
Admitted for atrial fibrillation caused by idiopathic dilated cardiomyopathia.
