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How Is the Patient with AF Treated?​

AF patient care pathway management includes rhythm control therapy to​ restore sinus rhythm during an episode of AF and rate and rhythm control​ therapies in over the long-term.​

Current treatment options available for managing AF include:
  

Rate Control Therapies

rate control af

PHARMACOLOGICAL​

Beta blockers or​ non-dihydropyridine​ calcium channel​ antagonists, digitalis​ glycosides, or amiodaron

rate control afib

SURGICAL​

AV node ablation with​ pacemaker implantation​


Rhythm Control Therapies


RHYTHM CONTROL​ THERAPIES FOR AN​ EPISODE OF AF​

Electrical and​ pharmacological​ cardioversion


LONG-TERM RHYTHM CONTROL THERAPIES​

pharmacological treatment afib
interventional treatment afib
surgical treatment afib

PHARMACOLOGICAL

INTERVENTIONAL

SURGICAL

 

Electrical and pharmacological cardioversion is recommended in patients experiencing an episode of AF, and the type of cardioversion chosen is dependent on haemodynamic stability, presence and type of structural heart disease, and patient choice.2

The choice of an alternative rhythm control therapy requires patient involvement, consideration of patient preferences, and informed decision-making with a multidisciplinary team of healthcare professionals, should the first rhythm control strategy fail.2

Patients who experience recurrence of symptomatic AF while on AADs or after catheter ablation may choose to: 2

aad treatment

RECEIVE

Treatment with a different AAD

catheter ablation af

REPEAT

Catheter Ablation

hybrid therapy afib

RECEIVE

Hybrid Therapy
(i.e. combining AADs with ablation)

rate control af

START

Rate control therapies to control AF

Treatment options for AF management

The initial management strategy for patients with AF includes detection and management of key complications and cardiovascular risk factors, including stroke and heart failure. Early treatment is important as it may improve patient life expectancy and quality of life.1,2 Treatment options for controlling AF long-term include stroke aversion therapy, rate control therapy and rhythm control strategies. Should you wish to read more on the Treatment options of Atrial Fibrillation, download the full report, the executive summary and the infographic on Atrial Fibrillation Management that have been published by Biosense Webster.

Atrial Fibrillation Management: 2019 Executive Summary

References

1. Iaizzo PA (2015). Handbook of Cardiac Anatomy, Physiology and Devices. Springer Science and Business Media, LLC: Switzerland.
2. Kirchhof P, Benussi S, Kotecha D, Ahlsson A, Atar D et al. (2016) 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS. Eur Heart J 37 (38): 2893-2962.

126680-191029 EMEA; 123104-200130 EMEA; 125888-191019 EMEA​