Atrial Fibrillation - Is There a Strategy of Early Rhythm Control?

The East trial was mainly investigating the strategy of early rhythm control meaning that not all patients could be controlled concerning rhythm in the intervention arm. Some patients irrespective of what we do with antirethmic, supplicent strategies, risk factor, modification and so on there will be always still patients who have atrial fibrillation. To generalize this in AF might be very very difficult because there are so many factors that come into play also one that mostly rhythm control interventions were on medication basis and not ablation.