We recommend that oral anticoagulant therapy be continued following surgical AF ablation in patients with a CHADS2 score ≥2. (Recommendation Strong, Quality Moderate)
We suggest that oral anticoagulant therapy be continued following surgical AF ablation in patients who have undergone mechanical or bioprosthetic mitral valve replacement. (Recommendation Conditional, Quality Low)
Values and preferences: These recommendations place a high value on minimizing the risk of stroke and a lower value in the utility of long-term monitoring to document the absence of AF.