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@chickenfarmer I’ve been following the no DOAC post ablation studies. I think the trick is to stay on a DOAC for a at least 9 months while doing frequent ECGs with a watch or other device and ideally a zio patch for 2 weeks before going off it. If no afib then I think no DOAC is smart. The issues I see with stopping DOAC is for people with severely enlarged left atriums or whose left atriums have poor strain numbers on echo. The scoring systems for DOACs don’t take that into account. I’m excited to see the pill in the pocket data for DOACs. I think a study might be coming out soon about that. I bought a used Apple Watch for $100 2 years ago and it has been decent for doing quick ECGs. I have a 6 lead Kardia and a wellue chest strap. None of the algorithms are accurate for my rhythm, I have too many PACs and I don’t have visible P waves in lead 1. The algorithms are good for most people though.
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@diane987654321 In the studies there are some limits on the post ablation crowd not needing DOACs ie prior herat or stroke, high chad vasc score, etc. I was proxysmal so my EP put me on aspirin during the first year after ablation. I had a lot of PACs in 2024 but found that by adjusting my synthetic Thyroid hormone, most went away. For me Apple watch is sufficient for monitoring AF and PACs. I"ve also tried Galaxy and KArdia 2 finger sensor with similar results. None of these sensors call out PACs but if had enough the trace would be classifed as AF even though heart rate was 60-70 BPM. My EP poo pooed the diagnoses I showed him and told me not to worry about PACs but they were causing symptoms so I worked to stop them finally finding the Thyroid connection.