Doctors & patients are saying about 'A-Fib.com'...


"A-Fib.com is a great web site for patients, that is unequaled by anything else out there."

Dr. Douglas L. Packer, MD, FHRS, Mayo Clinic, Rochester, MN

"Jill and I put you and your work in our prayers every night. What you do to help people through this [A-Fib] process is really incredible."

Jill and Steve Douglas, East Troy, WI 

“I really appreciate all the information on your website as it allows me to be a better informed patient and to know what questions to ask my EP. 

Faye Spencer, Boise, ID, April 2017

“I think your site has helped a lot of patients.”

Dr. Hugh G. Calkins, MD  Johns Hopkins,
Baltimore, MD


Doctors & patients are saying about 'Beat Your A-Fib'...


"If I had [your book] 10 years ago, it would have saved me 8 years of hell.”

Roy Salmon, Patient, A-Fib Free,
Adelaide, Australia

"This book is incredibly complete and easy-to-understand for anybody. I certainly recommend it for patients who want to know more about atrial fibrillation than what they will learn from doctors...."

Pierre Jaïs, M.D. Professor of Cardiology, Haut-Lévêque Hospital, Bordeaux, France

"Dear Steve, I saw a patient this morning with your book [in hand] and highlights throughout. She loves it and finds it very useful to help her in dealing with atrial fibrillation."

Dr. Wilber Su,
Cavanaugh Heart Center, 
Phoenix, AZ

"...masterful. You managed to combine an encyclopedic compilation of information with the simplicity of presentation that enhances the delivery of the information to the reader. This is not an easy thing to do, but you have been very, very successful at it."

Ira David Levin, heart patient, 
Rome, Italy

"Within the pages of Beat Your A-Fib, Dr. Steve Ryan, PhD, provides a comprehensive guide for persons seeking to find a cure for their Atrial Fibrillation."

Walter Kerwin, MD, Cedars-Sinai Medical Center, Los Angeles, CA


Steve’s Lists: Doctors by Specialties

Hospitals and Medical Centers using Esophageal Cooling During Catheter Ablation for Atrial Fibrillation

To assist you in seeking facilities offering esophageal cooling during Catheter Ablation for Atrial Fibrillation, here’s a list I’ve compiled from my reference sources
This list is not an endorsement of any center, and is only offered for your convenience.
Refer to Steve’s Directory of Doctors and Facilities for more information about a specific medical center or hospital.

Last updated: May 9, 2023

StateCityHospital
AlabamaMontgomeryBaptist Medical Center South
ArizonaMesaBanner Baywood Medical Center
PhoenixHonor Health Shea
ChandlerChandler Regional
GilbertMercy Gilbert Medical Center
ScottsdaleHonorHealth Osborn
CaliforniaSan FranciscoSan Francisco VA
San FranciscoUCSF Health – Parnassus
BurlingameMills – Peninsula Medical Center
Mountain ViewEl Camino
Palo AltoStanford
Saint HelenaAdventist Health St. Helena
Santa ClaraKaiser Santa Clara Medical Center
Redwood CitySequoia Hospital/Dignity
San DiegoSharp Memorial Hospital
San DiegoScripps Mercy San Diego
San DiegoSharp Chula Vista
La JollaScripps La Jolla
Rancho MirageEisenhower Medical Center
Loma LindaLoma Linda
Los AngelesPacific Heart Institute
ColoradoBoulderBoulder Community
FloridaHollywoodMemorial Regional Hospital
PensacolaHCA West Pensacola
MiamiUniversity of Miami Health System
HawaiiHonoluluThe Queen’s Medical Center
IllinoisEvanstonNorthShore Evanston Hospital
ChicagoRush University Medical Center
ChicagoNorthwestern Memorial Hospital
ChicagoNorthwest Community Hospital
ChicagoUniversity of Chicago
ElginEdwards Hospital
Park RidgeAdvocate Lutheran General Hospital
IndianaIndianapolisAscension St. Vincent Hospital – Indianapolis
IndianapolisCommunity Heart and Vascular Hospital
BloomingtonIndiana University (IU Health)
Ft WayneParkview Regional
MerrillvilleMethodist Merrillville – Southlake Campus
KentuckyLexingtonBaptist Health Lexington
LouisianaLake CharlesChristus Ochsner St. Patrick Hospital
MainePortlandMaine Medical Center
PortlandNorthern Light Eastern Maine Medical Center
BangorNorthern Light Eastern Maine Medical Center
MichiganDetroitAscension St. John Hospital
SouthfieldAscension Providence Hospital – Southfield Campus
MinnesotaSt CloudSt Cloud Hospital
DuluthEssentia St Mary
MinneapolisMinneapolis VA
MissouriKansas CitySt Luke’s Kansas City
ColumbiaBoone Health
Cape GirardeauSt Francis Health
NebraskaLincolnBryan Health
New HampshireManchesterCatholic Medical Center
ConcordConcord Hospital
New JerseyMorristownMorristown Medical Center
New YorkNew YorkMaimonides Medical Center (moved)
BrooklynMaimonides Medical Center
North CarolinaWinston-SalemWake Forest University – Baptist Medical Center
RaleighUNC Rex
North DakotaFargoEssentia Health – Fargo
OhioClevelandCleveland Clinic – Fairview Hospital
OregonPortlandOregon Health & Science University Hospital
PortlandAdventist Health Portland
PennsylvaniaYorkWellSpan York Hospital
TexasAustinSt. David’s South Austin Medical Center
BryanCHI St. Joseph
New BraunfelsChristus New Braunfels
DallasMedical City Heart Hospital
DallasUT Southwestern William P. Clements Jr. University Hospital
DallasMethodist Dallas
ArlingtonTexas Health Arlington
PlanoBaylor Scott & White The Heart Hospital
Sugar LandHouston Methodist Sugar Land Hospital
Nassau BayHouston Methodist Clear Lake Hospital
Fort WorthMedical City Fort Worth
Fort WorthBaylor Scott & White Heart and Vascular Hospital
Fort WorthTexas Health Harris Methodist Hospital Fort Worth
North Richland HillsMedical City North Hills
San AntonioUT Health San Antonio
BaytownHouston Methodist Baytown Hospital
WebsterUTMB Health Clear Lake Campus Hospital
WebsterHCA Houston Healthcare Clear Lake
VirginiaLynchburgCentra Lynchburg General Hospital
RichmondChippenham Hospital
RichmondHenrico Doctors Hospital
NorfolkSentara Norfolk/ Careplex
NorfolkSentara Norfolk General
Virginia BeachSentara Virginia Beach/Norfolk General
HamptonSentara Careplex
Virginia BeachSentara Cardiology Specialists
WashingtonMt VernonSkagit Regional
BellinghamSt. Joseph Medical Center
SeattleUniversity of Washington
West VirginiaMorgantownMon Health Medical Center

Return to Directory of Doctors Treating A-Fib: Medical Centers and Practices

Notice: Unlike other directories, A-Fib.com offers no preferential listings or placement. No doctor or facility pays, provides services, etc. to be listed. We accept no fee, benefit or value of any kind for listing a specific doctor or medical center. A-Fib.com is not affiliated with any practice, medical center or physician.

How to Find the Right Doctor: Steve’s Directory of Doctors & Medical Centers

Doctor acronyms wide 150 pix wide at 96 res

Article: Physician Credentials and What They Mean

Are you looking for a cardiologist who treats A-Fib patients? Or do you want to change doctors? We make it easier for you with our A-Fib.com Directory of Doctors and Medical Centers.

What Makes our Directory Unique?

Unlike some other directories on the web, we accept no fee, benefit or value of any kind for listing a specific doctor or medical center.

We list only those cardiologists and electrophysiologists who treat Atrial Fibrillation patients. We include doctor’s names and contact information. Our Directory is organized in three parts:

How to Select the Right Doctor for You

Be sure to refer to our article: Finding the Right Doctor for You and Your A-Fib. It covers what you need to know to research and select the best doctor for you and your treatment goals.

What do FHRS, FACC and CEPS mean after a doctor’s name? Read our article: Physician Credentials: Acronyms and What They Mean for Atrial Fibrillation Patients.

NOTE: This evolving list is offered as a service and convenience to A-Fib patients and is not an endorsement of any doctor or medical facility.
NOTICE: Unlike some other directories on the web, we offer no preferential listings to be in our Directory. We accept no fee, benefit or value of any kind for listing a specific doctor or medical center. A-Fib.com is not affiliated with any practice, medical center or physician.

After Ten Years, Repeat Ablation by Dr. Kerwin at Cedars-Sinai (CryoBalloon)

Pete & Beth Nyquist his A-Fib story on A-Fib.com

Pete & Beth Nyquist

A longtime A-Fib.com reader, Pete Nyquist, recently wrote us with an update about his A-Fib:

“My first ablation 2006: Thanks to your A-Fib.com website, I found Dr. Walter Kerwin and Cedars-Sinai Medical Center in Los Angeles. He did my Cryo Focal ablation in 2006, and it lasted almost 10 years without a problem.

My second ablation 2015: Recently, (September) I came out from Nashville, TN, to have Dr. Kerwin perform another procedure on me. This time it was the Cryo-Balloon. It took six hours, but Dr. Kerwin feels it was a great success. I was released on September 11, 2015 and since then feel great.

I highly recommend anyone considering having a Cryo-Balloon ablation done, to fly to Los Angeles and have Dr. Kerwin do it at Cedars-Sinai. Don’t just settle for anyone who can do an ablation. (see: All EPs Doing Abaltions Are Not Equal). Dr. Kerwin pioneered the Cryo Balloon and has devoted his entire life to curing A-Fib.

Thanks again for your A-Fib.com website and for leading me to Dr. Kerwin. I welcome emails from A-Fib.com readers.

Regards. Pete Nyquist, Nashville, TN, Ptnyquist(at)sbcglobal.net”

For more patient A-Fib stories, visit our page: Personal A-Fib Stories of Hope for over 80 first-person reports by patients, many of whom are now free from the burden of atrial fibrillation.

Who’s Performing Maze and Mini-Maze Operations?

If you aren’t a candidate for a catheter ablation, another option is the Maze/Mini-Maze surgeries. We’ve compiled a list of Medical Centers and doctors performing the Maze surgeries and organized it by US state.

Go to US Centers and Surgeons Performing Maze and Mini-Maze Operations.

We include doctor’s names and contact information. Be sure to refer to Finding the Right Doctor for You and Your A-Fib. It covers what you need to know to research and select the best doctor for you and your treatment goals.

NOTICE: Unlike some other directories on the web, we offer no preferential listings to be in our Directory. We accept no fee, benefit or value of any kind for listing a specific doctor or medical center. A-Fib.com is not affiliated with any practice, medical center or physician.

 

Steve’s List of EPs Installing the Watchman Device

If you are at high risk for stroke but can’t take anticoagulants, your doctor may suggest closing off the Left Atrial Appendage using an occluder such as the Watchman Device. Use of the Watchman is a relatively new treatment option (recently approved by the FDA for use in the US).

For Steve’s List of doctors who participated in the trial, go to US EPs Installing the Watchman Device – by US State.

We include doctor’s names and contact information. Be sure to refer to Finding the Right Doctor for You and Your A-Fib. It covers what you need to know to research and select the best doctor for you and your treatment goals.

NOTICE: Unlike some other directories on the web, we offer no preferential listings to be in our Directory. We accept no fee, benefit or value of any kind for listing a specific doctor or medical center. A-Fib.com is not affiliated with any practice, medical center or physician.

List of Doctors Specializing in Persistent/Long-standing Persistent A-Fib (US and International)

Surgeons performing Maze & Mini-maze

Surgeons performing Maze & Mini-maze

If you have Persistent A-Fib and Long-standing Persistent A-Fib you know these types of A-Fib are often difficult to cure. If you are highly symptomatic, you may need a highly skilled, experienced specialist.

Steve’s List is a starting point for you. Go to: Doctors Specializing in Persistent/Long-standing Persistent A-Fib (US and International).

We include doctor’s names and contact information. Be sure to refer to Finding the Right Doctor for You and Your A-Fib. It covers what you need to know to research and select the best doctor for you and your treatment goals.

NOTICE: Unlike some other directories on the web, we offer no preferential listings to be in our Directory. We accept no fee, benefit or value of any kind for listing a specific doctor or medical center. A-Fib.com is not affiliated with any practice, medical center or physician.

 

Looking for an EP Who Performs CryoBalloon Ablations?

Steves List{ EPs performing ablations

EPs performing ablations

FDA-approved in December 2010, the CryoBalloon Catheter is a major advancement in the treatment of A-Fib. To find the right EP for you, we’ve organized a list to help when considering CryoBalloon catheter ablation as a treatment option. Check our US Doctors and Centers Using CryoBalloon Ablation with A-Fib Patients. The list of Electrophysiologists is organized by U.S. state then by city.

We include doctor’s names and contact information. Be sure to refer to Finding the Right Doctor for You and Your A-Fib. It covers what you need to know to research and select the best doctor for you and your treatment goals.

NOTICE: Unlike some other directories on the web, we offer no preferential listings to be in our Directory. We accept no fee, benefit or value of any kind for listing a specific doctor or medical center. A-Fib.com is not affiliated with any practice, medical center or physician.

 

US Centers Performing the Hybrid Surgery/Ablation – a List from A-Fib.com

Steves List logo 200 pix at 96 resUS Centers performing the Hybrid Surgery/Ablation Procedure

The Hybrid Surgery/Ablation Procedure, in general, is not recommended. To read why, go to 2019 AF Symposium: Live! Convergent Hybrid Ablation for Atrial Fibrillation.

There are very few centers offering the Hybrid Surgery/Ablation approach because it’s relatively new, and because it’s extremely rare to have the tremendous expertise necessary in both catheter ablation and surgical A-Fib ablation at the same institution.

Terminology: Similar multidisciplinary ablation techniques are called ‘hybrid ablation technique’, ‘convergence process’, ‘Convergent Maze Procedure’ and ‘Convergent Ablation”’.

HOW TO FIND CONTACT INFO

Return to Steve’s Lists of A-Fib Doctors by Specialty

Medical Center City/State/PhoneNotes
Allegheny General Hospital’s Cardiovascular Institute Pittsburgh, PA 877-97HEARTInformational link
Arrhythmia Center of Florida/FDM PLC/Interventional Cardiac ConsultantsHudson, FL (727) 819-2338Informational Link
Aurora St. Luke’s Heart and Vascular InstituteMilwaukee, WI (888) 649-6892Informational link
Bridgeport Hospital’s Connecticut Cardiac Arrhythmia CenterBridgeport, CT (203) 384-3000Informational link
Banner Good Samaritan Medical Center/Cavanaugh Heart CenterPhoenix, AZ
(602) 839-7393
Informational link
Danbury Hospital/Western Connecticut Health NetworkDanbury, CT
(203) 739-7000
Informational link
Doylestown Cardiology Assoc.Doylestown, PA
(267) 253-8938
Informational link
East Jefferson General HospitalMetaire, LA 70006 (504) 503-5000Informational Link
Ellis Medicine/Medical Center of Clifton ParkSchenectady, NY (518) 831-8840Informational link
Florida Institute for Atrial FibrillationPalm Beach Gardens, FL (561) 630-8570 Informational Link
Georgia Regents University/Medical College of GeorgiaAugusta, GA
(706) 721-2426
Informational link
Mount Sinai Medical Center/Columbia Un. Division of CardiologyMiami Beach, FL (305) 405-0455Informational Link
Pinellas Arrhythmia AssociatesClearwater, FL (727) 587-6999Informational Link
Sarasota Memorial HospitalSarasota, FL
(941) 917-8791
Informational Link
Stanford Cardiac Surgery/Salinas Valley Medical CenterSalinas, CA
(831) 759-3289
Informational Link
Stanford Hospital & ClinicsPalo Alto, CA (650) 723-5771Informational link
St. Joseph’s Hospital/Advanced Center for Atrial Fibrillation/Bay Heart GroupTampa, FL (813) 877-2342 (AFIB)Informational Link
Tampa Cardiac SpecialistsTampa, FL (813) 229-9292Informational link
TriStar Centennial Heart & Vascular CenterNashville, TN (800) 242-5662Informational link
UNC Health Care System, Cardiac Surgery & Electrophysiology ServicesChapel Hill, NC (866) 862-4327Informational link
The University of Chicago Medical CenterChicago, IL (888) 824-0200Informational link
Vanderbilt University Medical Center Nashville, TN (615) 322-5000Informational link
Washington University & Barnes-Jewish Hospital/Heart & Vascular Center St. Louis, MO (866) 534-8403Informational link
Virginia Cardiovascular Specialists, The Heart Rhythm CenterRichmond, VA (804) 521-5800Informational link
HCA, Cardiothoracic Surgical AssociatesRichmond, VA 804-282-8777, 804-297-0822Informational link

Back to the Top

Return to Steve’s Lists of A-Fib Doctors by Specialty

HOW TO FIND CONTACT INFO: Use the “Search our site” box (upper right on this page) to get to the right Directory page. Then, open your browser’s ‘Find on Page’ feature (‘CTRL+F’) to locate the name on the page.

NOTICE: We offer no preferential listings. We accept no fee, benefit or value of any kind for listing a specific doctor or medical center. A-Fib.com is not affiliated with any practice, medical center or physician.

Disclaimer: this directory is provided for your convenience only.  We make no endorsement of a specific physician or medical facility. Choosing a physician is an important decision and should be based upon your own investigation of each physician’s training, education and experience. This directory offers you the opportunity to locate and contact a healthcare professional directly.

A-Fib.com—your independent source of unbiased information about Atrial Fibrillation, research and treatment options.

Last updated: Thursday, April 27, 2023

Doctors Treating A-Fib: US Medical Centers and Practices

Directory of Doctors Treating A-Fib: Medical Centers and Practices

Our Directory lists US & international physicians and medical centers treating Atrial Fibrillation patients. This evolving list is offered as a service and convenience to A-Fib patients. (Unlike other directories, we accept no fee to be included.) The directory is divided into three categories.

US Doctors and Medical Centers (by state/city)
International: Doctors and Medical Centers (by country or region)
NOTICE: we offer no preferential listings. We accept no fee, benefit or value of any kind for listing a specific doctor or medical center. A-Fib.com is not affiliated with any practice, medical center or physician. Contact Us with any errors or corrections.

A-Fib.com Advisory Board: I am deeply indebted to the many cardiac electrophysiologists and surgeons who have offered me their counsel in publishing this website, Atrial Fibrillation: Resources for Patients, A-Fib.com.

While not always agreeing with all my positions, these doctors try to point me in the right direction. It is my honor to acknowledge and thank the members of the A-Fib.com Advisory Board. For the list of physicians, read more.

Legend to Acronyms

You may see one or more of acronyms following a doctor’s name. See Physician Credentials: Acronyms and What They Mean for Atrial Fibrillation Patients for an explanation of each.

Disclaimer: this directory is provided for informational purposes only. We make no endorsement of a specific physician or medical facility. Choosing a physician is an important decision and should be based upon your own investigation of each physician’s training, education and experience. These listings offer you the opportunity to locate and contact a healthcare professional directly.
A-Fib.com is your independent source of unbiased information about Atrial Fibrillation and its resources and treatments.

Return to A-Fib.com home 

If you find any errors on this page, email us. Y Last updated: Saturday, June 12, 2021  

US Doctors performing Maze and Mini-Maze Surgeries – a List by A-Fib.com

Steves List logo 200 pix at 96 resUS Centers and Surgeons Performing Maze and Mini-Maze Operations

If you aren’t a candidate for a catheter ablation, another option is the Maze/Mini-Maze surgery. We’ve compiled a list of Medical Centers and doctors performing the Maze surgeries organized by US state (when applicable).

Alabama · Arizona · Arkansas · California · Connecticut · Florida · Georgia · Illinois · Indiana · Louisiana · Maryland · Massachusetts · Michigan · Minnesota · Missouri · New Jersey · New York · North Carolina · Ohio · Oklahoma · Oregon · Pennsylvania · South Carolina · Tennessee · Texas · Utah · Virginia · Wisconsin

HOW TO FIND THE CONTACT INFO.

Return to Steve’s Lists of A-Fib Doctors by Specialty


ALABAMA

University of Alabama at Birmingham, Division of Cardiovascular Disease

ARIZONA

Cavanaugh Heart Center

ARKANSAS

Samuel T. Rayburn MD PA

CALIFORNIA

USC Healthcare Consultation Center II 

Hoag Memorial Hospital Presbyterian 

University of California San Francisco, East Bay Surgery 

University of California, Irvine Medical Center, Division of Cardiothoracic Surgery 

Pacific Coast Cardiac & Vascular Surgeons

Sequoia Heart Surgeons

Sacramento Cardiovascular Surgeons 

Sutter Medical Group Cardiology 

Kaiser Permanente San Francisco Medical Center 

Stanford School of Medicine

CONNECTICUT

Yale Cardiac Surgery

FLORIDA

Shands Hospital at the Un. of Florida 

Mayo Clinic Jacksonville 

Atrial Fibrillation Institute/St. Vincent’s Heart and Vascular Center 

St. Joseph’s Hospital, Tampa/Advanced Center for Atrial Fibrillation

Sarasota Memorial Hospital (Dr. Paul Vesco)

GEORGIA

Emory University Heart Center 

Piedmont Heart Institute

Back To Top

ILLINOIS

Northwestern Memorial Hospital, Division of Cardiac Surgery 

University of Chicago Medical Center, Department of Surgery 

Illinois Cardiac Surgery Associates, SC 

OSF St. Francis Medical Center Illinois Cardiac Surgery Associates 

INDIANA

Community Heart and Vascular Hospital

Clarian Health Group/Methodist Hospital 

LOUISIANA

New Orleans Heart

MARYLAND

Capital Cardiovascular & Thoracic Surgery 

Johns Hopkins Un. 

University of Maryland Cardiac Surgery

MASSACHUSETTS

Massachusetts General Hospital

Beth Israel Deaconess Medical Center 

North Shore Medical Center

Back To Top 

MICHIGAN

Borgess Heart Center, Kalamazoo

Great Lakes Cardiothoracic/Northern Michigan Hospital

MINNESOTA

Mayo Clinic Rochester 

MISSOURI

Wheeler Heart/Vascular Center 

Washington Univ. School of Medicine 

St. John’s Cardiovascular Specialists

 

NEW JERSEY

St. Joseph’s Hospital and Medical Center 

Robert Wood Johnson University Hospital

NEW YORK

Montefiore Medical Center CAR,  Division of Cardiology-Montefiore-Einstein

Maimonides Medical Center, Atrial Fibrillation Center

New York Columbia Presbyterian Hospital

Lenox Hill Interventional Cardiac & Vascular Svcs

NORTH CAROLINA

Asheville Cardiovascular Surgery 

University of North Carolina at Chapel Hill

Wake Forest University/Baptist Medical Center

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OHIO

Deaconess Hospital Atrial Fibrillation Center, Cincinattti

Cleveland Clinic Foundation

The Ohio State Un. Medical Center, Columbus

St. Rita’s Medical Center, Lima

OKLAHOMA

University of Oklahoma Health Sciences Center

OREGON

Swanson Gatley Cardiothoracic Surgeons/St. Vincent’s Medical Center

PENNSYLVANIA

Allegheny General Hospital, The Gerald McGinnis Cardiovascular Institute

SOUTH CAROLINA

Greenville Hospital System,  University Medical Group Cardiothorasic Surgery

TENNESSEE

Methodist University Hospital 

Vanderbilt Heart Center for Atrial Fibrillation

TEXAS

Methodist DeBakey Heart & Vascular Center

Texas Heart Institute/Cardiovascular Care Providers, Inc. 

University of Texas Houston/Memorial Hermann Hospital 

Cardiothoracic Surgery Associates of North Texas 

UTAH

Intermountain Medical Group

VIRGINIA

Inova Heart and Vascular Institute, Inova Fairfax Hospital

VCU Health Surgery, Richmond

VCU Health Surgery, Fredericksburg

WISCONSIN

Aspirus Heart & Vascular Institute, A-Fib Clinic

Froedtert & Medical College Clinics

Midwestern Heart Surgery Institute, St. Luke’s Medical Center


Back To Top
Return to
Steve’s Lists of A-Fib Doctors by Specialty

NOTICE: We offer no preferential listings. We accept no fee, benefit or value of any kind for listing a specific doctor or medical center. A-Fib.com is not affiliated with any practice, medical center or physician.

HOW TO FIND CONTACT INFO: Use the “Search our site” box (upper right on this page) to get to the right Directory page. Then, open your browser’s ‘Find on Page’ feature (‘CTRL+F’) to locate the name on the page.

Disclaimer: this directory is provided for your convenience only. We make no endorsement of a specific physician or medical facility. Choosing a physician is an important decision and should be based upon your own investigation of each physician’s training, education and experience. This directory offers you the opportunity to locate and contact a healthcare professional directly.

A-Fib.com—your independent source of unbiased information about Atrial Fibrillation, research and treatment options.

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