Why the study?
Is surgical ablation reasonable for symptomatic paroxysmal atrial fibrillation prior to initiation of antiarrhythmic therapy?
Is surgical ablation reasonable for symptomatic paroxysmal atrial fibrillation prior to initiation of antiarrhythmic therapy?
This expert consensus statement provides a Class IIa recommendation for surgical ablation in patients with symptomatic paroxysmal atrial fibrillation prior to the initiation of Class I or III antiarrhythmic medications.
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Supports offering surgical ablation before antiarrhythmic drugs in symptomatic paroxysmal AF; extends guideline indications for earlier rhythm control.
Calkins et al. (2017) studied this question.
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