Which of the following management strategies is least associated with paroxysmal arrhythmias?

The management strategy least associated with paroxysmal arrhythmias is surgical intervention. Paroxysmal arrhythmias are characterized by episodes that come and go, and they typically resolve spontaneously within a short period of time. The primary management strategies focus on understanding the triggers, providing patient education, and using monitoring techniques to capture the arrhythmia when it occurs.

Patient education on triggers helps patients identify and avoid factors that may provoke episodes, making it a proactive form of management. Long-term antiarrhythmic medication can be used for some patients with frequent or symptomatic paroxysmal arrhythmias, aiming to reduce the frequency of episodes. Event monitoring allows for documentation of episodes when they occur, facilitating better treatment decisions based on actual data.

In contrast, surgical interventions are generally reserved for more persistent or refractory arrhythmias that do not respond to other management strategies. Since paroxysmal arrhythmias are often transient and potentially manageable with less invasive approaches, surgical options are not typically a first-line strategy for these types of arrhythmias. Therefore, surgical intervention stands out as the least associated management option for paroxysmal arrhythmias.