112
Management
Figure 24. Management of Patients with HF and AF (cont'd)
HFpEF
Recurrent AF
HFrEF
No clinical AF
Likely to benefit from
catheter ablation
• AF-mediated CMP suspected
• Earlier stage of HF
• No significant ventricular scar
on CMR
• No or mild atrial fibrosis
• Paroxysmal and early
persistent AF
• Younger patients
without significant other
comorbidities
AF catheter
ablation
(2a)
AF catheter
ablation
(1)
Long-term surveillance for
recurrent AF
in AF-induced CMP and
recovered LVEF
(2a)
