What is your outpatient approach to patients with new-onset paroxysmal atrial fibrillation in the setting of acute illness but who are otherwise asymptomatic with normal sinus rhythm post-hospital discharge?
Specifically, what is your approach to outpatient monitoring to assess atrial fibrillation burden for patients with CHADS2Vasc score>2?
Answer from: at Academic Institution
This is an excellent question for which there is not currently a lot of data. My practice is based upon the evidence that patients with infection-related atrial fibrillation do have a significantly higher risk of stroke, while at the same time, anticoagulation has not been demonstrated to be helpful...
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Answer from: at Academic Institution
I tend to individualize my approach. In general, I consider any significant episode of atrial fibrillation with a chadsvasc 2 score =/>2 to warrant long-term anticoagulation provided no bleeding contraindications. An acute illness involving infection, trauma or surgery would not likely stee...