80
Management
Prefers rate control
Favors Rate Control Variable
Physical
Examination
Anatomy
Patient
Factors
"Older"
Longer history of AF
Fewer symptoms
Easily controlled heart
rate
Larger LA
Less LV dysfunction
Less AV regurgitation
Patient choice
Age
Antecedent history
of AF
Symptom burden
Rate control in AF
LA size
LV function in AF
AV regurgitation in AF
Figure 19. Patient and Clinical Considerations for Choosing
Between Rhythm Control and Rate Control
Patient and clinical considerations for deciding between rhythm- and rate-control strategies
in a patient with a high burden of AF.