What is the primary goal in the treatment of atrial fibrillation?

The primary goal in the treatment of atrial fibrillation (AFib) is to restore and maintain normal sinus rhythm (NSR). This approach is crucial because NSR is the normal heart rhythm that allows for the effective and efficient pumping of blood. When the heart is in AFib, it beats irregularly and often rapidly, which can lead to inadequate blood flow and increase the risk of complications such as stroke and heart failure.

Restoration and maintenance of NSR can significantly improve symptoms, reduce the risk of thromboembolic events, and enhance the overall quality of life for patients with AFib. While other treatment approaches, like rate control and embolization prevention, are important aspects of AFib management, achieving and maintaining NSR is often viewed as a primary goal in effectively treating the underlying condition and ensuring optimal cardiac function.

By focusing on restoring NSR, patients may experience fewer symptoms such as palpitations, fatigue, and dizziness, which can be prevalent when the heart is in an aberrant rhythm like AFib. This treatment strategy aims not only to correct the rhythm but also to address the potential long-term consequences associated with sustained AFib.