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In this CME, Dr. Sandeep Jain from the Department of Heart and Vascular institute presents on the rate vs. rhythm control in treatment of atrial fibrillation. He uses several case studies to discuss treatment and management strategies, as well as comparing CHADS2 versus CHAD2VASC in calculating stroke risk.

Educational objectives:

Upon completion of this activity, participants should be able to:

  • Identify the factors utilized to make a decision regarding rate vs. rhythm control in the management of atrial fibrillation.
  • Be able to stratify stroke risk for atrial fibrillation and calculate a CHADS2-VASC score to aid in making a decision regarding appropriate anticoagulation.

Reading Resources:

  1. Lane DA, Lip GY. Use of the CHA(2)DS(2)-VASc and HAS-BLED scores to aid decision making for thromboprophylaxis in nonvalvular atrial fibrillation. Circulation. 2012;126:860-865.
  2. AFFIRM First Antiarrhythmic Drug Substudy Investigators. Maintenance of sinus rhythm in patients with atrial fibrillation: an AFFIRM substudy of the first antiarrhythmic drug. J Am Coll Cardiol. 2003;42:20-9.
  3. Calkins H, Reynolds MR, Spector P, Sondhi M, Xu Y, Martin A, Williams CJ, Sledge I. Treatment of atrial fibrillation with antiarrhythmic drugs or radiofrequency ablation: two systematic literature reviews and meta-analyses. Circ Arrhythm Electrophysiol. 2009;2:349-361.


Dr. Jain has reported no relevant relationships with any entities producing health care goods or services.

Accreditation Statement:

The University of Pittsburgh School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The University of Pittsburgh School of Medicine designates this enduring material for a maximum of .5 AMA PRA Category 1 Credits™. Each physician should only claim credit commensurate with the extent of their participation in the activity. Other health care professionals are awarded (0.05) continuing education units (CEU) which are equivalent to .5 contact hour.

For your credit transcript, please access our website 4 weeks post-completion at and follow the link to the Credit Transcript page. If you do not provide the last 5 digits of your SSN on the next page you will not be able to access a CME credit transcript. Providing your SSN is voluntary.

Release Date: 9/29/15 | Last Modified On: 9/29/15 | Expires: 9/29/16

This course has been expired.