Adequate heart rate control
In this study, patients qualified to rhythm control were more likely to
have HR inadequately controlled (<50 or > 110
bpm) than patients with rate control. Importantly, the majority of
patients with suboptimally controlled HR in both groups remained highly
symptomatic (EHRA II-IV). According to guidelines, lenient rate control
is indicated as an initial approach, unless symptoms require stricter
rate control [2]. Importantly, an attempt should be made to improve
physician’ skills to successfully deliver symptom-focused management.