To the Editor: We have read with interest the article by Tsadok et al1 regarding the incidence of stroke or transient ischemic attack in patients with atrial fibrillation under rhythm or rate control, recently published on Circulation. The authors found that patients undergoing initial rhythm control may have lower rates of stroke and transient ischemic attack when compared with patients under rate-control strategy (hazard ratio, 0.80). However, it should be noted that patients were greatly different in terms of risk factors for stroke between the 2 groups. In fact, patients in the rate-control group were significantly older (>70% of them were aged ≥75 years), with higher prevalence of hypertension, diabetes mellitus, and previous cerebrovascular events...

Letter by Santovito et al regarding article, "rhythm versus rate control therapy and subsequent stroke or transient ischemic attack in patients with atrial fibrillation".

SANTOVITO, DONATO;MEZZETTI, Andrea;CIPOLLONE, Francesco
2013-01-01

Abstract

To the Editor: We have read with interest the article by Tsadok et al1 regarding the incidence of stroke or transient ischemic attack in patients with atrial fibrillation under rhythm or rate control, recently published on Circulation. The authors found that patients undergoing initial rhythm control may have lower rates of stroke and transient ischemic attack when compared with patients under rate-control strategy (hazard ratio, 0.80). However, it should be noted that patients were greatly different in terms of risk factors for stroke between the 2 groups. In fact, patients in the rate-control group were significantly older (>70% of them were aged ≥75 years), with higher prevalence of hypertension, diabetes mellitus, and previous cerebrovascular events...
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11564/453283
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