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πŸ›‘ AFib Gone, OAC Gone? ALONE-AF Challenges Lifelong Therapy

πŸ›‘ AFib Gone, OAC Gone? ALONE-AF Challenges Lifelong Therapy

Dr RR Baliga's "Got Knowledge Doc" Podkast

September 4, 20255m 14s

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Show Notes

🚨 New Trial Alert 🚨

Can we safely stop anticoagulation after AF ablation? The ALONE-AF Trial πŸ«€ suggests yesβ€”in selected patients with no AF recurrence, stopping DOACs reduced major bleeding 🌟 without increasing stroke risk 🧠.

πŸ“‰ 0.3% vs 2.2% for the composite outcome (P = .02)

πŸ“ Carefully monitored, low-risk patients may benefit most.

πŸ“ Editorial: Recommends shared decision-making 🀝 & individualized rhythm monitoring.

πŸ“š A potential shift in post-ablation care.

πŸ”— #AFib #Anticoagulation #EPTrials #CardioTwitter #StrokePrevention #JAMA #ALONEAF #Electrophysiology #SharedDecisionMaking #ClinicalTrials