Published: 2 July 2017
Author(s): S. Damanti, L. Cortesi, L. Pasina, D. Mari, M. Marcucci
Issue: July 2017
Section: Letter to the Editor

The management of atrial fibrillation (AF) might be particularly cumbersome in complex older patients, barely represented in clinical trials. Rhythm control drugs often fail to provide sustained sinus rhythm (SR) and increase the risk of pro-arrhythmia and of extra-cardiac effects. Anticoagulants are poorly prescribed in the elderly [1], despite evidence of a good risk/benefit profile, and in paroxysmal AF, even if the risk for thrombo-embolic events is comparable to that of permanent AF and thus warrants the same type of management.

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The principal objectives of EFIM is to promote internal medicine on a scientific educational, ethical and professional level and to support internists in providing better care for patients throughout Europe.

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The specialty of internal medicine covers a wide range of conditions affecting the internal organs of the body. Although some diseases specifically affect individual organs, the majority of common diseases. The internist must then be trained to recognise and manage a broad range of diseases and, with the aging population, many patients with chronic and multiple disorders.

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