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John Mandrola, MD
 - John M. Mandrola, MD

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

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.

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.