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Many elderly first develop paroxysmal atrial fibrillation(PAF)prompting visits to ER.
Then would experience recurrence of AF causing multiple visits to ER.
This continues for a number of years, then AF persists requiring daily medication including
anticoagulants, some of the patients electing to undergo ablation procedure which often takes
4-5 hrs with small incidence of complications.
This pill in pocket approach described here in detail applies to those patients who have been
diagnosed to have recurrent PAF and is an excellent idea of self help, obviating the need to go to ER,
minimizing the development of left atrial thrombus and preventing the stroke by quickly converting
PAF to normal sinus rhythm.
The success rate is very high so that the patient can certainly discuss with the cardiologist regarding
this approach.