What are your thoughts on the results of the ALONE-AF trial and the safety profile of discontinuing anticoagulation post-ablation, provided there is no atrial arrhythmia recurrence?

If it's reasonable to stop anticoagulation, how frequently should patients be monitored for AFib/atrial arrhythmia recurrence?

Answer from: at Community Practice

ALONE-AF is another recent trial to challenge the current dogma. The 2023 ACC/AHA/HRS guidelines for AF recommend "In patients who have undergone catheter ablation of AF, continuation of longer-term oral anticoagulation should be dictated according to the patients’ stroke risk (e.g., CHA2DS2-V...

Comments

at Hartford HealthCare Medical Group
Thank you for that very thoughtful response. It is...

at The George Washington University Hospital
Go against the "Guidelines" at your own risk.

at Baylor College of Medicine/ Texas Children's Hospital
I always tell trainees there are 3 levels of physi...

at Hartford HealthCare Medical Group
I guess how does one Walk the line of doing what's...

at Baylor College of Medicine/ Texas Children's Hospital
"So I would act more on the side of caution, and I...

at Hartford HealthCare Medical Group
Please continue to update and reflect. Thank you.

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What are your thoughts on the results of the ALONE-AF trial and the safety profile of discontinuing anticoagulation post-ablation, provided there is no atrial arrhythmia recurrence?

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