Guideline adherence in antithrombotic treatment after concomitant ablation surgery in atrial fibrillation patients

摘要: OBJECTIVES: We investigated real-life oral anticoagulation (OAC) treatment after surgical ablation and examined its adherence to current recommendations. also explored factors related OAC use preoperatively at follow-up. METHODS: One hundred fifteen patients with atrial fibrillation (AF) were evaluated during 12-month follow-up surgery. Patients divided into two categories according the congestive heart failure, hypertension, age ≥75 years, diabetes prior stroke [or transient ischaemic attack or thromboembolism] (CHADS2) score: 60 assigned high-risk group (CHADS2 score ≥2) 55 low-risk ≤1). was defined as guideline adherent, undertreatment overtreatment. RESULTS: Baseline overall 62%. underprescribed in overprescribed (both, P 75 years (P= 0.01) preoperative AF > paroxysmal 0.013). Overall showed a trend towards better sinus rhythm (SR) subgroup (74% vs 55%, P= 0.02). (both P< 0.001). After logistic regression analysis, 0.007) other indications for predictors of treatment. CONCLUSIONS: Real-life prescription moderate adherence, being undertreated overtreated. These findings stress importance that antithrombotic undergoing surgery needs be critically re-evaluated.