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?

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 steer me awa...

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...