We found no significant differences in the primary end point cardiovascular hospitalization ( MVP : 16.3 % vs DDD : 14.5 % ; P = .72 ) and the secondary end point persistent AF ( MVP : 15.4 % vs DDD : 11.2 % ; P = .08 ) , permanent AF ( MVP : 4.1 % vs DDD : 3.1 % ; P = .44 ) , and composite of death and cardiovascular hospitalization ( MVP : 23.9 % vs DDD : 20.2 % ; P = .48 ) .