PRO/CON Debate: Atrial Fibrillation Ablation in Older Adults With Heart Failure and Reduced Ejection Fraction: Please Ablate – American College of Cardiology
Heart failure (HF) and atrial fibrillation (AF) are a bad combination, such that AF can exacerbate HF symptoms, worsen left ventricular function, and create multiple adverse consequences despite optimal medical therapy for HF. Maintenance of sinus rhythm in patients with HF and AF can improve outcomes, but antiarrhythmic drug therapy is inferior to catheter ablation in this regard. Evidence indicates that age, per se, is not a contraindication to catheter ablation of AF, even for patients with HF with