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  • Our review extends beyond the findings of prior reviews, as it shows no significant difference in stroke or bleeding events between the strategies and shows a potential benefit of rhythm control for reduction in heart failure symptoms which, however, did not reach statistical significance.
  • A complication is that forensic psychiatrists must frequently balance complex ethical issues.
  • Unlike AFFIRM and prior meta-analyses, in the current systematic review we included more patients and gathered data on multiple outcome measures from all studies comparing a rate-control strategy with a pharmacological rhythm-control strategy and also looked for studies using nonpharmacological rate- and rhythm-control treatments.

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