Question

A 52-year-old man with poorly controlled hypertension and obstructive sleep apnoea presents with new-onset atrial fibrillation and rapid ventricular response. According to CCS AF guidelines, which management principle is most important for long-term rhythm and rate control?

Accepted Answer

Aggressive management of modifiable risk factors such as hypertension, obesity, and sleep apnoea is integral to AF management

Answer

Rate or rhythm control can be pursued without addressing risk factors

Answer

Anticoagulation can be stopped once sinus rhythm is restored

Answer

Lifestyle measures are unimportant compared with antiarrhythmic drugs

Answer

Catheter ablation should be first-line for all patients

Practice question

A 52-year-old man with poorly controlled hypertension and obstructive sleep apnoea presents with new-onset atrial fibrillation and rapid ventricular response. According to CCS AF guidelines, which management principle is most important for long-term rhythm and rate control?