Current guidelines recommend a target heart rate of less than 80 beats per minute, though a "lenient" rate-control strategy (resting heart rate < 110 beats per minute) may be considered in asymptomatic patients with preserved LV function [ 52].
Thomas, meanwhile, was left licking his wounds after making a special trip from London to argue for a more lenient rating.
The clinical implications of RACE II are that lenient rate control may be adopted as a first-choice rate-control strategy in patients with permanent AF.
The RACE II trial suggested that lenient rate control is non-inferior to strict rate control to prevent major clinical events.
In conclusion, lenient rate control was noninferior to strict rate control in the prevention of major cardiovascular events in patients with permanent AF.
Furthermore, for both patients and health care providers, lenient rate control is more convenient, since fewer outpatient visits and examinations are needed.
Neverthless, since the study was relatively small, large scale studies have to reveal the long term effect of lenient rate vs strict control in patients with AF in more detail (presenter: Isabelle C. Van Gelder, Groningen, The Netherlands).
Conservatives such as Iain Duncan Smith, the party's former leader, and Ed Vaizey, its arts spokesman, have also criticised the British Board of Film Classification for giving the new Batman film a lenient 12A rating.
(The Motion Picture Association of America defended its lenient rating by pointing out that "nobody ever got mugged by a shark").
Not-So-Sunny Florida While California has seen first-time buyers hurting, in central and southern Florida the market was affected by those who took advantage of lenient rates to buy and "flip" second homes.
The ref takes a lenient view.
