By vgreene, 15 January, 2015 DC cardiovert [I/B] + peri-procedural anticoagulation.<sup>29</sup> Repeat/serial attempts based on sinus rhythm duration, sx, pt preference<sup>29</sup> +/- rate-control tx [IIa/C]
By vgreene, 15 January, 2015 Anticoagulate<sup>27,28</sup> based on stroke/bleed risks, renal fxn, pt preference [I/C]
By vgreene, 15 January, 2015 If postcoronary revasc (PCI/surg): reasonable to add clopidogrel 75 mg/day (not aspirin) to anticoagulant [IIb/B]
By vgreene, 15 January, 2015 Cath ablation<sup>25</sup> + peri-ablation anticoagulation<sup>23</sup> is an option; factor risk/benefit, pt preference.
By vgreene, 15 January, 2015 If undergoing cardiac surgery for other reasons: maze procedure reasonable for select pts<sup>25</sup> [IIa/C]
By vgreene, 15 January, 2015 Cath ablation of accessory pathway recommended for pre-excited AF<sup>25</sup> [I/C]
By vgreene, 15 January, 2015 Cath ablation<sup>25</sup> for persistent AF w/ sx reasonable if refractory/intolerant to ≥1 class I/III drug [IIa/A], consider for long-standing (>12 mo) persistent AF w/ sx [IIb/B]; consider as initial strategy before class I/III drug trial [IIb/B]