Arrhythmias & electrophysiology
Surgical management of atrial fibrillation in patients undergoing cardiac surgery: a systematic review of clinical practice guidelines and recommendations
Authors' conclusion
Disagreements exist in recommendations for specific indications for concomitant AF ablation and LAAO, with the decision subject to Heart Team assessment.
Study context
- Population
- Guidelines on concomitant surgical AF ablation in patients undergoing cardiac surgery (MEDLINE, EMBASE, 2011–2022)
- Participants
- 4 guidelines
- Outcome
- Guideline recommendations on concomitant surgical AF ablation
Methodological detailsAGREE-II > 50%
- AGREE-II > 50%
Pooled result
As reported in the abstract
- EACTS recommends systematic screening for those aged >75 or at high stroke risk; not recommended by AHA or STS
- Class IIa, Level B
- Only STS recommended left atrial appendage occlusion (LAAO) alongside surgical ablation
- Class IIa, Level C
Original publication
Surgical management of atrial fibrillation in patients undergoing cardiac surgery: a systematic review of clinical practice guidelines and recommendations. Eur Heart J Qual Care Clin Outcomes. Published 23 October 2023. doi:10.
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