Key result
Review outlines state-of-the-art rhythm control, rate control, and risk factor management for persistent AF.
Why the study?
Catheter ablation faces limited success rates, particularly for persistent atrial fibrillation, prompting the investigation of adjunctive ablation techniques and optimized treatments.
This review outlines the current state-of-the-art integrated management strategies for persistent atrial fibrillation, highlighting the role of catheter ablation and adjunctive techniques.
Supports integrated AF management strategies; leaves open optimal ablation timing and risk factor sequencing pending RCTs.
The global incidence of atrial fibrillation is on the rise. Atrial fibrillation, a complex disease, heightens the likelihood of heart failure, stroke, and mortality, necessitating careful attention. Controlling heart rate and rhythm, addressing risk factors, and preventing strokes are fundamental in treating atrial fibrillation. Catheter ablation stands out as the primary approach for atrial fibrillation rhythm control. Nevertheless, the limited success rates pose a significant challenge to catheter ablation, particularly for persistent atrial fibrillation. Various adjunctive ablation techniques are currently under investigation to enhance the effectiveness of catheter ablation. This review provides an overview of the current state of the art and the latest optimized treatments for persistent atrial fibrillation in the areas of rhythm control, heart rate control, and risk factor management.
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Yue et al. (2025) conducted a review in Persistent Atrial Fibrillation. Integrated management was evaluated. This review outlines the current state of the art and optimized treatments for persistent atrial fibrillation, focusing on rhythm control, heart rate control, and risk factor management.
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