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?

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-VASc sc...

As noted, I would personally feel most comfortable using high-grade smartwatches to check for AFib, even if they might overcall AFib. I would definitely wear one at night, and either recharge it during waking hours or just have two.

Also, what is the risk of using aspirin? It has its own bleeding ri...