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Ventricular fibrillation (VF) is characterized by rapid (>300 beats a per minute), irregular electrical activation with variable electrocardiographic waveforms that prevents coordinated myocardial contraction, resulting in immediate loss of cardiac output.1 It most commonly occurs in the context of coronary artery disease.2,3 Resuscitation efforts are critically time-dependent: with each minute of untreated VF, the survival rate declines […]

Pulsed field ablation receives NICE backing for atrial fibrillation

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Published Online: Jul 10th 2025

Today, NICE recommended pulsed field ablation (PFA) for the treatment of atrial fibrillation (AF), the most common heart rhythm disorder, affecting around 2% of UK adults.

As AF becomes more prevalent, driven by factors such as age, heart disease and obesity, safer and more effective treatments are increasingly needed. Unlike traditional thermal ablation, which uses heat or cold, PFA uses electrical energy to target heart tissue more precisely, potentially reducing the risk of damage to surrounding structures.

The NICE recommendation was based on evidence from clinical trials and published studies showing that PFA is effective in achieving acute treatment success, reducing recurrence of AF and the need for repeat procedures, and improving patient quality of life. These outcomes were supported by physiological assessments and composite scores of treatment success.

We spoke with Dr Richard Bala, Consultant Cardiologist at the Royal Bournemouth Hospital about his experience with PFA and how this new NICE guidance could shape the future of atrial fibrillation care in the UK.

 

Disclosures: Dr Bala has no financial interests to declare in relation to this video. No fees or funding are associated with this content. This video was produced in collaboration with Arrhythmia Alliance.

Learn more about Arrhythmia Alliance here.

Cite: Pulsed field ablation receives NICE backing for atrial fibrillation. touchCARDIO.com. 10 July 2025.


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