The aim of this study is to examine the effect of a 12-week exercise-based cardiac rehabilitation intervention on the recurrence of atrial fibrillation (AF) in patients at six- and twelve-months post-ablation procedure.

Inclusion Criteria:

• ● Adult patients 18 years and older.

  • Willing to participate in the study after randomization to either an intervention group (cardiac rehabilitation exercise) or a control group (usual care).
  • Able to attend two pre and post study clinic visits at a local designated Pulse Heart Institute cardiac rehab program.
  • If randomized to the cardiac rehab intervention group can attend exercise rehab visits for 3 x per week for 12 weeks (36 visits) at a designated Pulse cardiac rehab program.
  • Has an active email address and phone number.
  • Documented diagnosis of Paroxysmal and persistent Atrial Fibrillation.
  • Undergone ablation treatment and is at a minimum of 2 weeks post ablation status.
  • Compliant with medication therapy including medications for heart rate control and anticoagulant(s).

Exclusion Criteria:

• ● Does not speak English.

  • Does not have clearance to participate in the study by their attending cardiologist.
  • Documented cardiovascular disease or pulmonary/respiratory disease that would qualify the patient for Cardiac, Pulmonary or Vascular Rehabilitation at a Pulse Heart Institute rehabilitation program.
  • Dementia or cognitive impairment.
  • Unable to participate in rehabilitation exercise due to physical limitations.
  • Greater than one prior ablation procedure
  • Long standing, chronic Atrial Fibrillation
  • Patients who have undergone posterior wall isolation ablation.