0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Editorial |

Has the Time Come to Recommend Catheter Ablation of Atrial Fibrillation as First-Line Therapy?

Hugh Calkins, MD1
[+] Author Affiliations
1Johns Hopkins Hospital, Baltimore, Maryland
JAMA. 2014;311(7):679-680. doi:10.1001/jama.2014.468.
Text Size: A A A
Published online

Extract

During the past decade, catheter ablation of atrial fibrillation (AF) has evolved from being a novel unproven procedure for treatment of AF to its role today as an important, commonly performed treatment option for patients with symptomatic AF refractory to antiarrhythmic drug therapy. The 2012 Heart Rhythm Society, European Heart Rhythm Association, and European Society of Cardiology (HRS/EHRA/ECAS) expert consensus document1 on catheter ablation of atrial fibrillation provides a “class 1 level of evidence A” recommendation for catheter ablation of AF for patients with paroxysmal atrial fibrillation for whom treatment with at least 1 antiarrhythmic medication failed and a “class 2 level of evidence B” recommendation for patients with paroxysmal AF for whom antiarrhythmic drug therapy has not failed. Similar recommendations are made by the 2012 update of the European Society of Cardiology Atrial Fibrillation Guidelines.2

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Articles Related By Topic
Related Collections
PubMed Articles
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature
Clinical Resolution

Users' Guides to the Medical Literature
Clinical Scenario

brightcove.createExperiences();