Atrial Fibrillation Ablation Should Be First-line Therapy in Patients with Heart Failure Reduced Ejection Fraction

Abstract

Catheter ablation for atrial fibrillation in patients with heart failure with reduced ejection fraction is associated with improvement in patient-centered outcomes, such as mortality, heart failure readmission, and atrial fibrillation recurrence, compared with standard medical therapy with or without device therapy. The evidence is not as robust in patients with atrial fibrillation and heart failure with preserved ejection fraction.

Keywords: Atrial fibrillation; Catheter ablation; Heart failure hospitalization; Mortality; Pharmacologic therapy.