By rray, 25 January, 2024 Exclude Patient Type Detail Header No Detail Type Text Detail Text If reduced LV function trial of rhythm control recommended to evaluate if AF is contributing to reduced LV function If symptomatic rhythm control can improve sx If uncertain about sx being due to AF rhythm control trial may clarify If AF dx If HF rhythm control reduces mortality and hospitalizations for HF and ischemia Rhythm control can reduce likelihood of AF progression If adult w congenital heart dz rhythm control preferred If hx of pulm HTN rhythm control preferred Rhythm control may reduce development of dementia or worsening cardiac structural abnormalities Rate control favored if nbsp nbsp Pt preference nbsp nbsp Older age nbsp nbsp Longer AF hx nbsp nbsp Fewer sx nbsp nbsp Easily controlled HR nbsp nbsp Larger LA nbsp nbsp Less LV dysfunction nbsp nbsp Less AV regurgitation nbsp nbsp No or minor sx1 nbsp n Patient Type Detail Header (Long) Considerations for rhythm vs. rate control: