Question

A 66-year-old with persistent atrial fibrillation is rate-controlled on metoprolol. He remains symptomatic with reduced EF (35%) despite GDMT. Next step for rhythm control?

Accepted Answer

Catheter ablation to improve symptoms and outcomes

Answer

Sotalol initiation without monitoring

Answer

Dronedarone in HFrEF

Answer

No rhythm strategy because AF is permanent

Answer

AV nodal ablation with no pacing

Practice question

A 66-year-old with persistent atrial fibrillation is rate-controlled on metoprolol. He remains symptomatic with reduced EF (35%) despite GDMT. Next step for rhythm control?