What should be considered when considering pacing and atrioventricular node ablation for people with permanent atrial fibrillation with symptoms or left ventricular dysfunction thought to be caused by high ventricular rates?
When considering pacing and atrioventricular node ablation, it is important to reassess symptoms and the consequent need for ablation after pacing has been carried out and drug treatment further optimised. It is also recommended to consider left atrial catheter ablation before pacing and atrioventricular node ablation for people with paroxysmal atrial fibrillation or heart failure caused by non-permanent (paroxysmal or persistent) atrial fibrillation.