Great to have you back. We appreciate your insights and objective analysis. Your comments as alays help translate clinical research to daily practice.

Dear dr. Topol: This videoblog is a great idea and will hopefully add great value to TheHeart.org. There are several links scattered through these web pages, announcing symposia and educational material that address the issue of restoration of sinus rhythm in AF. One of them deals with its impact in patients with chronic heart failure and new-onset AF. However, just a few hours ago, a new study has been presented in AHA 2007, suggesting that restoration of sinus rhythm in stable HF patients may not be necessary, at least, as far as hard endpoints are concerned. I would appreciate to hear your comments on this new study.

Dear Sergio, Not unusual to see mixed data like this, with under-powered studies. As you know, most of the data supports rate control is adequate but the larger, randomized trials to date have not enrolled CHF are insufficient or conflicting data, individualizing the approach to the the patient (and using clinical judgement) seems to be the best approach.

As a frequent user of the theheart.org -also one of your original ideas- I congratulate you with this new initiative that really adds another dimension to the internet exchange of ideas. Thanks to theheart.org and your new initiative we are able to stay current with all new developments in cardiology. In these times where international travel has become so complicated because of numerous security checks, this enables us to gain rapidly a profound insight on what is happening at the AHA sessions even without being physically present! The true value theheart.org and this new initiative lays in the daily comments by leading experts produced as soon as new findings are presented or are published. This indeed helps a lot to translate clinical research into daily clinical practice.