Jamie Sin Ying Ho: Stopping Anticoagulation After AF Ablation and Rhythm Control
Jamie Sin Ying Ho, Clinical Supervisor (Undergraduate) at University of Cambridge, shared ESC Council on Stroke’s post on LinkedIn:
“An intensely informative debate: should we stop anticoagulation after ablation & rhythm control in AF?
Current CoS chair Prof Renate Schnabel (YES) vs past chair Prof Gregory Lip (NO)
Ocean and Alone AF support discontinuation in pts with low stroke risk, high bleeding risk & no recurrence for high 1 yr
But risk is dynamic, and the burden of monitoring recurrence and new comorbidities falls on clinician and patient
Trials may be underpowered to detect stroke, few events were reported
Open questions: How much monitoring of AF recurrence is enough?
For how long?
ILR vs prolonged Holter?
But what is the AF burden that is clinically relevant?
Beyond stroke: heart failure and cognitive outcomes (e.g. dementia) matter too
A comprehensive view of the patient regarding the co morbidities other etiologies of stroke is essential.”
ESC Council on Stroke shared post on LinkedIn:
“Great Debate ongoing:
Should we stop OAC after Afib ablation?
Yes: prof Renate Schnabel
No: prof Gregory Lip
How do you support?”
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