82
Management
Treatment required to
decrease AF burden
Heart failure?
NO
YES
See sections
8.2 and 9
Shared decision-
making
Antiarrhythmic
drugs (AADs)
(See section 8.3.1)
Catheter ablation
(See section 8.4)
Surgery
(See section 8.6)
Including discussion
on timing of
cardioversion if
necessary
(See section 8.2)
Figure 20. Flowchart for Treatment Choices When Required to
Decrease AF Burden
* Younger with few comorbidities.
Flowchart outlining overall strateg y and treatment options for patient with AF in whom
rhythm-control therapy is required.
Dofetilide
Dronedarone
Flecainide
Propafenone
(2a)
Sotalol
(2b)
Antiarrhythmic
drugs are
ineffective
(1)
First-line therapy
for selected
patients*
(1)
First-line therapy
for unselected
patients
(2a)
Undergoing
concomitant
cardiac surgery
(2a)
Symptomatic,
persistent, drug-
refractory AF
(2b)
