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September 5, 2025JAMA

Long-Term Anticoagulation Discontinuation After Catheter Ablation for Atrial Fibrillation

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Authors

DKDaehoon KimJSJaemin ShimECEue‐Keun Choi

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Overview

Randomized clinical trial revealed lower risk of stroke and major bleeding with anticoagulation discontinuation, suggesting benefits for patients post-ablation.

Key Points

  • Discontinuing oral anticoagulant therapy results in lower risk of stroke, systemic embolism, and major bleeding.
  • Primary outcome occurred in 0.3% of patients who discontinued therapy compared to 2.2% who continued therapy, P = .02.
  • Randomized clinical trial included 840 adults with at least one stroke risk factor, monitored over 2 years.
  • Findings imply benefits of discontinuation for patients after catheter ablation, needing further validation.

Cite This Study

Kim et al. (2025) studied this question.

synapsesocial.com/papers/68c23966b210217d6477bb6ehttps://doi.org/10.1001/jama.2025.14679
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