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Atrial fibrillation

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LancetAtrial fibrillation

Catheter ablation for symptomatic atrial fibrillation (PVI-SHAM-AF)

a randomised, double-blind, sham-controlled, multicentre trial.

In the double-blind, sham-controlled PVI-SHAM-AF trial, 262 patients with symptomatic paroxysmal or persistent atrial fibrillation were randomised to catheter ablation or a sham procedure. At six…

Current problems in cardiologyAtrial fibrillationPrimary care

Device-detected atrial fibrillation after ARTESiA and NOAH-AFNET 6

from episode burden to net clinical benefit.

This narrative review synthesizes evidence from the ARTESiA and NOAH-AFNET 6 trials regarding anticoagulation for device-detected atrial high-rate episodes and subclinical atrial fibrillation. While…

Open heartAtrial fibrillationThrombosis

Walking a tightrope

the safety and efficacy of oral anticoagulants in atrial fibrillation patients with prior intracranial haemorrhage: a systematic review and meta-analysis.

A systematic review and meta-analysis evaluated direct oral anticoagulants (DOACs) versus vitamin K antagonists (VKAs) in patients with atrial fibrillation and a history of intracranial haemorrhage…

New England Journal of MedicineAtrial fibrillationThrombosis

LIBREXIA ACS

milvexian prevents no events after an acute coronary syndrome and does not bleed less, a blow to the factor XI hypothesis in ACS

The full results of the trial stopped for futility in November 2025: 14,194 patients within 7 days of an ACS with at least two risk factors, milvexian 25 mg twice daily or placebo on top of…

Nature MedicineAtrial fibrillationPrimary care

EPIDAURUS

prasugrel or ticagrelor with a DOAC after infarction in atrial fibrillation triples major bleeding, the trial was stopped early

Randomised trial stopped early for safety after 602 of 1,474 planned patients with AF and myocardial infarction: DOAC plus one month of prasugrel or ticagrelor versus DOAC plus clopidogrel (with…

New England Journal of MedicineAtrial fibrillationPrimary care

SINGLE-AF

a DOAC protects patients with atrial fibrillation and a single stroke risk factor, without excess major bleeding

The first randomised trial in the guideline grey zone: 1,803 Korean patients with AF and a CHA2DS2-VASc score of 1 (men) or 2 (women) were randomised to apixaban or rivaroxaban versus no…

HartVaat congresredactieAtrial fibrillationThrombosis

Factor XI inhibition

the hypothesis, the promise and the LIBREXIA ACS lesson

Factor XI inhibition promises antithrombotic effect without the bleeding cost, but the field keeps hitting reality: after asundexian, the 14,000-patient LIBREXIA ACS trial of milvexian was halted for…

EuropaceAtrial fibrillation

Transseptal puncture in cardiovascular interventions

a clinical consensus statement of the European Heart Rhythm Association, the Heart Failure Association, the European Association of Percutaneous Cardiovascular Interventions, the European Association of Cardiovascular Imaging of the ESC, and the Association for European Paediatric and Congenital Cardiology.

A multi-society ESC working group has released a clinical consensus on transseptal puncture (TSP), a foundational technique for over 250,000 annual atrial fibrillation ablations and various…

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