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  <title>Persistant Atrial Fibrillation: Pulse Field Ablation Dominates</title>
  <description>⚡🫀 Shock. Silence. Success — A landmark New England Journal of Medicine trial redefines first-line therapy in persistent AF. &amp;amp;nbsp; In AVANT GUARD, pulsed field ablation (PFA) outperformed antiarrhythmic drugs: 📊 Success: 56% vs 30% 📉 HR: 0.46 (P&amp;amp;lt;0.001) 💓 Lower arrhythmia burden (−6.5%) &amp;amp;nbsp; Safety remained comparable, with primary events at 5.1%. &amp;amp;nbsp; A compelling case for early, energy-based rhythm control—precision over pharmacology. &amp;amp;nbsp; #Cardiology #Electrophysiology #AtrialFibrillation #NEJM #Innovation </description>
  <author_name>Dr. RR Baliga's 'Podkast for the Kurious Doc'</author_name>
  <author_url>http://www.MasterMedFacts.com</author_url>
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