Huff and Puff, This CASTLE Is Made of Bricks

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Abstract
In the last two decades, catheter ablation of atrial fibrillation (AF) has evolved into a procedure with both efficacy in reduction of AF burden and safety. This has led to changes in guidelines from ESC, AHA/ACC and HRS now recommending a catheter ablation procedure as a viable first line treatment option for patients suffering from AF with and without heart failure (HF). Current recommendations are based on relief of symptoms and not prevention of mortality and morbidity.