title: Ablation as First-Line Therapy for Atrial Fibrillation: Not Yet for All.
abstract: Studies have established the superiority of atrial fibrillation ablation in controlling the rhythm compared with medical therapy. The procedure, however, has significant associated risks. Whether ablation therapy would improve the major outcomes of survival and stroke is not yet established. Until this information becomes available, ablation should continue to be used as a second-line option for most patient subgroups when one or more antiarrhythmic medications are ineffective.
authors.affiliation: St Vincent Medical Group, 8333 Naab Road, #400, Indianapolis, IN 46260, USA.
authors.forename: Benzy J
authors.initials: BJ
authors.lastname: Padanilam
authors.forename: Eric N
authors.initials: EN
authors.lastname: Prystowsky