Atrial Fibrillation Ablation Should Be First-Line Therapy in Heart Failure Patients: CON


Heart failure (HF) and atrial fibrillation (AF) are the epidemics of the twenty-first century. These often coexist and are the cause of major morbidity and mortality. Management of these patients has posed a significant challenge to the medical community. Guideline-directed pharmacologic therapy for heart failure is important; however, there is no clear consensus on how best to treat AF with concomitant HF. In this article, we provide an in-depth review of the management of AF in patients with HF and provide insight as to why catheter ablation should not be the first line of therapy in this population.

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Khaji A, Hanley C, Kowey PR. Cardiol Clin 2019;37:197–206.