AF-Early Rhythm Control in HFrEF — EECC MCQ

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HardCardiologyAF-Early Rhythm Control in HFrEFEECC

A 57-year-old with new AF presents with exertional dyspnea. TTE shows LVEF 35% likely tachycardia-induced cardiomyopathy. Best rhythm strategy?

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Correct answer: A — Early rhythm control including consideration of catheter ablation

The 2023 AF guideline emphasizes early rhythm control in AF with HFrEF/tachycardia-induced cardiomyopathy, including catheter ablation to improve EF. Rate control only (B) may not reverse cardiomyopathy; AV node ablation (C) is not first-line; aspirin (D) is irrelevant; stopping beta-blocker (E) is harmful.

Reference: ACC/AHA/ACCP/HRS Guideline (2023): Atrial Fibrillation