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Second, to identify predictors of the use of amiodarone in patients with rhythm control and of the use of rhythm control strategy in patients with paroxysmal AF in the Balkans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Prospective enrolment of consecutive patients from seven Balkan countries to the BALKAN\u2010AF survey was performed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 2712 enrolled patients, 2522 (93.0%) with complete data were included: 1622 (64.3%) patients were assigned to rate control strategy and 900 (35.7%) to rhythm control. Patients with rhythm control were younger, more often hospitalised for AF and with less comorbidities (all <jats:italic>P<\/jats:italic>\u00a0&lt;\u00a0.05) than those with rate control. Symptom score [European Heart Rhythm Association (EHRA)] was not an independent predictor of a rhythm control strategy [odds ratio (OR) 0.99, 95% confidence interval (CI) 0.90\u20101.10, <jats:italic>P<\/jats:italic>\u00a0=\u00a0.945]. The most commonly chosen antiarrhythmic agents were amiodarone (49.7%), followed by propafenone (24.3%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>More than one\u2010third of patients in the BALKAN\u2010AF survey received a rhythm control strategy, and these patients tended to be younger with less comorbidities than those managed with rate control. EHRA symptom score is not significantly associated with rhythm control strategy. The most commonly used antiarrhythmic agents were amiodarone, followed by propafenone.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ijcp.14080","type":"journal-article","created":{"date-parts":[[2021,2,8]],"date-time":"2021-02-08T19:02:16Z","timestamp":1612810936000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Symptom management strategies: Rhythm vs rate control in patients with atrial fibrillation in the Balkan region: Data from the BALKAN\u2010AF survey"],"prefix":"10.1155","volume":"75","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0384-1975","authenticated-orcid":false,"given":"Monika","family":"Kozie\u0142","sequence":"first","affiliation":[{"name":"Liverpool Centre for Cardiovascular Science University of Liverpool and Liverpool Heart &amp; Chest Hospital Liverpool UK"},{"name":"1stDepartment of Cardiology and Angiology Silesian Centre for Heart Diseases Zabrze Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miroslav","family":"Mihajlovic","sequence":"additional","affiliation":[{"name":"Cardiology Clinic Clinical Centre of Serbia Belgrade Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Milan","family":"Nedeljkovic","sequence":"additional","affiliation":[{"name":"Cardiology Clinic Clinical Centre of Serbia Belgrade Serbia"},{"name":"School of Medicine Belgrade University Belgrade Serbia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nikola","family":"Pavlovic","sequence":"additional","affiliation":[{"name":"Clinical Center Sestre Milosrdnice Zagreb Croatia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vilma","family":"Paparisto","sequence":"additional","affiliation":[{"name":"Clinic of Cardiology University Hospital Center Mother Theresa Tirana Albania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ljilja","family":"Music","sequence":"additional","affiliation":[{"name":"Cardiology Clinic University Clinical Center of Montenegro University of Podgorica, Medical Faculty Podgorica Montenegro"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elina","family":"Trendafilova","sequence":"additional","affiliation":[{"name":"National Heart Hospital Coronary Care Unit Sofia Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anca","family":"Rodica Dan","sequence":"additional","affiliation":[{"name":"Cardiology Department Colentina University Hospital Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zumreta","family":"Kusljugic","sequence":"additional","affiliation":[{"name":"Clinic of Internal Medicine Cardiology Department University Clinical Center Tuzla, Medical Faculty Tuzla Bosnia and Herzegovina"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gheorghe\u2010Andrei","family":"Dan","sequence":"additional","affiliation":[{"name":"Medicine University \u201cCarol Davila\u201d Colentina University Hospital Bucharest Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7566-1626","authenticated-orcid":false,"given":"Gregory Y. 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