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Alerts clinicians to consider AEF in symptomatic patients post-AF ablation; leaves open prospective validation of diagnostic and surgical strategies.
AEF complicating atrial fibrillation ablation is associated with a high mortality. Clinicians should have a high suspicion for the development of AEF in patients presenting with infective, neurological, gastrointestinal, or cardiac symptoms within 2 months of an atrial fibrillation ablation. Investigation by contrast computed tomography of the chest with consideration of repeat testing can lead to prompt diagnosis. Surgical intervention is associated with improved survival rates.
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Han et al. (2017) studied this question.
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