Atrial Fibrillation Follow-up Investigation of Rhythm Management (AFFIRM)
Completed
National Heart, Lung, and Blood Institute (NHLBI)
Phase 3
1995-03-01
To compare two standard treatment strategies for atrial fibrillation: ventricular rate
control and anticoagulation vs. rhythm control and anticoagulation.
Hypertension is one of the most common medical problems in the United States and in the VA
health care system. It has been well-documented that hypertension can be effectively treated.
However, there remain important unresolved clinical questions in the area of antihypertensive
treatment. For example, how much is mortality affected by visit compliance, blood pressure
control and type of antihypertensive agent? Or, are some regimens associated with more
morbidity than others? Or, are there inexpensive regimens that are as effective as more
expensive regimens? The amount of data that is available from this demonstration project
(currently 6,100 patients) will help address these questions. The answers to these questions
should result in better care for veterans with hypertension.
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