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John Mandrola, MD
 - John M. Mandrola, MD
Cardiovascular Business
Until five months ago, the only stroke prevention medication for AF was warfarin. Doctors don't like warfarin because of its variable effects, risk of under- or overtreatment and multiple drug/dietary interactions.
 - John M. Mandrola, MD
Cardiovascular Business
Although my experience may not mirror the majority of practicing heart rhythm experts, I have noticed a significant decrease in the number of conventional implantable cardioverter-defibrillators (ICDs) and pacemakers in my practice. There are several possible explanations.
Cardiovascular Business
Middle age introduces itself in many ways; one is atrial fibrillation (AF). My onset of AF seems to have coincided with a mountain bike accident in the woods of North Carolina that resulted in some cracked ribs.