Atrial fibrillation (AF) is frequently associated with rheumatic valvular heart disease (RVHD). AF leads to systemic thromboembolic complications, reduced quality of life (QOL), impaired ventricular function and also increased mortality. Multivariate anal Atrial fibrillation (AF) is frequently associated with rheumatic valvular heart disease (RVHD). AF leads to systemic thromboembolic complications, reduced quality of life (QOL), impaired ventricular function and also increased mortality. Multivariate anal