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Updated: Mar 26, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
Relevance of Monitoring Atrial Fibrillation in Clinical Practice
Thorsten Lewalter1, Giuseppe Boriani2
1Professor of Internal Medicine-Cardiology, University of Bonn, Bonn and Head, Department of Cardiology and Intensive Care, Isar Heart Centre Munich, Munich, Germany.
Abstract:
The monitoring of atrial fibrillation (AF) is performed using a variety of tools, ranging from the conventional Holter electrocardiogram to modern implantable loop recording with remote data exchange. The main clinical areas in AF where monitoring is crucial for decision-making are catheter and surgical ablation, as well as anticoagulation to prevent strokes. Identifying the patient cohort at risk - e.g., those with subclinical silent AF - is a challenge. In addition, the interaction of AF with implanted devices - e.g. AF-triggered inadequate shock therapy - should be the object of continuous monitoring. The prevention of inadequate shock delivery in particular is of major clinical importance.
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