By switaschek, 27 May, 2020 If undergoing cardiac surgery for other reasons: maze procedure reasonable for select pts6
By switaschek, 27 May, 2020 Cath ablation6 for persistent AF w/ sx reasonable if refractory/intolerant to ≥1 class I/III drug, consider for long-standing (>12mo) persistent AF w/ sx; consider as initial strategy before class I/III drug trial
By switaschek, 27 May, 2020 Cath ablation6 for paroxysmal AF w/ sx: useful if refractory/intolerant to ≥1 class I/III drug; reasonable as initial strategy before class I/III drug trial for recurrent paroxysmal AF w/ sx
By switaschek, 27 May, 2020 Cath ablation6 7 periablation anticoagulation3 4 is an option factor risk benefit pt preference
By switaschek, 27 May, 2020 Postconversion drug maintenance options6,7 based on CAD/LVH/HF, comorbidities, drug risks, +/- rate-control tx. OK to continue antiarrhythmic despite infrequent well-tolerated recurrences; stop if AF becomes permanent
By switaschek, 27 May, 2020 Postconversion pill-in-pocket prn option: propafenone/flecainide + BB/non-DHP-CCB (diltiazem/verapamil), once proven safe in monitored setting, reasonable to terminate out-pt AF
By switaschek, 27 May, 2020 Restore sinus rhythm1 via DC cardioversion antiarrhythmic drug or RF cath ablation rate control No long term anticoagulant tx unless HCM 2 Correct underlying causes