What factors influence the clinical decision for use of rhythm control or rate control for atrial fibrillation (Afib) (AF)?

Updated: Apr 09, 2019
  • Author: Lawrence Rosenthal, MD, PhD, FACC, FHRS; Chief Editor: Jeffrey N Rottman, MD  more...
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Answer

The cornerstones of AF management are rate control and anticoagulation, [1] as well as rhythm control for those symptomatically limited by AF. The clinical decision to use a rhythm-control or a rate-control strategy requires integrated consideration of the following:

  • Degree of symptoms

  • Likelihood of maintaining sinus rhythm after successful cardioversion

  • Presence of comorbidities

  • Candidacy for AF ablation


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