No need to treat atrial fibrillation. An unexpected perspective.
Heart failure and atrial fibrillation are often associated. Both
conditions share pathophysiology and risk factor; as an example, atrial
fibrillation may be regarded as either the ‘cause’ or the ‘consequence’
of heart failure. If coexistent, they are associated to very poor
outcome. With this in mind, finding effective therapy for patients
presenting with both heart failure and atrial fibrillation remains of
paramount importance. There are also little evidence of the role and
benefit of surgical atrial fibrillation ablation concomitant to heart
surgery (i.e., coronary or valve surgery).