Why the study?
Does radiofrequency catheter ablation improve control of atrial fibrillation in patients with symptomatic AF refractory or intolerant to medical therapy compared to medical therapy?
Does radiofrequency catheter ablation improve control of atrial fibrillation in patients with symptomatic AF refractory or intolerant to medical therapy compared to medical therapy?
This review highlights that catheter ablation is more effective than medical therapy for controlling atrial fibrillation in patients who are refractory or intolerant to antiarrhythmic drugs.
May support ablation for refractory AF symptom control; leaves open need for updated RCTs with contemporary therapies.
Antiarrhythmic drugs are the first-line treatment for atrial fibrillation (AF); as a result, catheter ablation usually is not considered until a patient is experiencing symptomatic AF refractory to at least one antiarrhythmic medication or is intolerant to medical therapy. For these patients, catheter ablation is shown to be more effective than medical therapy for controlling AF. This article reviews catheter ablation and its indications.
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Dorn et al. (2015) studied this question.
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