| Longstanding* | Persistent | Paroxysmal |
|---|---|---|
| First-line | ||
| − − | − | + |
| Failed first-line drug | ||
| − − | + | + + |
| Failed second-line drug | ||
| + | + + | + + + |
| Failed multiple drugs | ||
| + + | + + + | + + + |
+, Balance of risk and benefit in favour of catheter ablation.
*Ongoing symptomatic AF for ≥ year.