Question

A 68-year-old man with HFrEF and persistent atrial fibrillation is symptomatic despite rate control. Blood pressure is adequate. Which rhythm strategy is reasonable?

Accepted Answer

Catheter ablation for symptomatic AF in HFrEF to improve outcomes

Answer

Immediate AV nodal ablation without trial of antiarrhythmic

Answer

No rhythm control in HFrEF

Answer

Use dronedarone

Answer

Increase beta-blocker indefinitely

Practice question

A 68-year-old man with HFrEF and persistent atrial fibrillation is symptomatic despite rate control. Blood pressure is adequate. Which rhythm strategy is reasonable?