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?

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?

• Long-term anticoagulation for patients with a CHADS-VASC score ≥2, provided no bleeding contraindications
• Consideration of LAAO devices, such as Watchman, if there are contraindications for long-term anticoagulation
• Careful history-taking to identify any “asymptomatic” patients who may have subtle symptoms like decreased activity tolerance or increased fatigue, followed by regular follow-up
• Hold off on antiarrhythmics until there is a clinical manifestation of arrhythmia post-infection, using event monitors and consumer monitors for tracking
• Perform a 30-day monitor at 6 months to help with decisions about continuation of anticoagulation
• Other