Atrial fibrillation is an active arrhythmia of the heart. It is characterized by a rapid disorganized atrial electrical activation and uncoordinated atrial contraction.5 These electrical stimulations or impulses come from areas throughout the atria.5 AF can occur when there are abnormalities such as structural, electrophysiological or both that change the atrial tissue.6 These abnormalities promote irregular impulse formation and rate propagation.6 Irregular impulses can originate from the atria