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Catheter and Surgical Ablation of Atrial Fibrillation

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6 Diagnosis Table 2c. Indications for Concomitant Open (such as Mitral Valve) Surgical Ablation of Atrial Fibrillation Recommendations COR LOE Symptomatic AF refractory or intolerant to at least one Class 1 or 3 antiarrhythmic medication Paroxysmal: Surgical ablation is recommended. 1 B-R Persistent: Surgical ablation is recommended. 1 B-R Long-standing persistent: Surgical ablation is recommended. 1 B-R Symptomatic AF prior to initiation of antiarrhythmic therapy with a Class 1 or 3 antiarrhythmic medication Paroxysmal: Surgical ablation is recommended. 1 B-R Persistent: Surgical ablation is recommended. 1 B-R Long-standing persistent: Surgical ablation is recommended. 1 N-R Table 2d. Indications for Concomitant Closed (such as CABG and AVR) Surgical Ablation of Atrial Fibrillation Recommendations COR LOE Symptomatic AF refractory or intolerant to at least one Class 1 or 3 antiarrhythmic medication Paroxysmal: Surgical ablation is recommended. 1 B-NR Persistent: Surgical ablation is recommended. 1 B-NR Long-standing persistent: Surgical ablation is recommended. 1 B-NR Symptomatic AF prior to initiation of antiarrhythmic therapy with a Class 1 or 3 antiarrhythmic medication Paroxysmal: Surgical ablation is reasonable. 2A B-NR Persistent: Surgical ablation is reasonable. 2A B-NR Long-standing persistent: Surgical ablation is reasonable. 2A B-NR

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