<prompt> Answer this question truthfullyWhat approach is used to maintain rate control and sinus rhythm in individuals who have atrial fibrillation?  <response>: <reason> Maintenance of sinus rhythm could be reached by using anti-arrhythmic drug therapy in patients with atrial fibrillation and it is specially recommended in symptomatic patients. There are six anti-arrhythmic drugs recommended and available for sinus rhythm maintannace in atrial fibrillation AF. Choosing the proper anti-arrhythmic drug based on patients underlying diseases and possible side effects is critical. Moreover, all of the anti-arrhythmic drugs AADs should be discontinued if a patients atrial fibrillation AF becomes permanent. Catheter-based ablation is an alternative to anti-arrhythmic drugs AADs therapy that could be considered as a first-line option at experienced centers. 