“Atrial Fibrillation” – a landmark monograph for contemporary cardiology

The monograph succeeds in being both a comprehensive treatise on atrial pathophysiology and a practical clinical guide. Decision-making algorithms for the management of newly diagnosed atrial fibrillation, criteria for hospital admission versus discharge, pharmacological cardioversion strategies – including the “pill-in-the-pocket” approach – and the perioperative management of anticoagulation are presented in a form that is directly applicable at the bedside.

The chapter devoted to ablation is particularly valuable, covering evidence from randomized clinical trials – including the landmark CABANA trial – as well as technical aspects, expanded indications, complications, and the management of recurrences. The role of ablation as first-line therapy in selected clinical settings is convincingly argued, with reference to its impact on quality of life and prognosis, especially in patients with heart failure.

The work also addresses complex clinical situations, including postoperative atrial fibrillation, atrial fibrillation associated with acute coronary syndromes, atrial fibrillation in patients at high risk of bleeding, transitions between anticoagulant therapies, and anticoagulant management around endoscopic procedures. This practically oriented approach is extremely useful for clinicians dealing with real-world patients rather than exclusively with textbook cases.

Intended primarily for cardiologists and electrophysiologists, the monograph represents an essential working tool for physicians involved in the management of patients with atrial fibrillation. It is also highly useful for cardiology residents, who will find in it a comprehensive source of up-to-date information, as well as for family physicians and specialists in internal medicine, who frequently encounter these patients in daily practice. Furthermore, the work constitutes a valuable resource for researchers interested in the mechanisms of atrial arrhythmogenesis.

The monograph Atrial Fibrillation is an outstanding contribution to the medical publishing literature, providing a comprehensive, up-to-date, and in-depth perspective on one of the most challenging cardiovascular disorders of the twenty-first century. The author demonstrates a remarkable command of the subject, combining scientific rigor with clinical pragmatism. The work is distinguished by its timeliness, the originality of several chapters, and its direct applicability in daily practice.

We warmly recommend this monograph as essential reading for every physician seeking to keep abreast of the current thinking on the management of atrial fibrillation. Its publication enriches the Romanian medical literature with a major work that can stand alongside the most authoritative international treatises on the subject.

Valeriu Revenco, MD, PhD, university professor

Head of Cardiology Discipline, Department of Internal Medicine

Nicolae Testemițanu State University of Medicine and Pharmacy, Republic of Moldova