학술논문

2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines.
Document Type
article
Source
Journal of the American College of Cardiology. 83(1)
Subject
ACC/AHA Clinical Practice Guidelines
acute coronary syndrome
alcohol
anticoagulants
anticoagulation agents
antiplatelet agents
apixaban
atrial fibrillation
atrial flutter
cardioversion
catheter ablation
coronary artery disease
coronary heart disease
dabigatran
edoxaban
exercise
heart failure
hypertension
idarucizumab
left atrial appendage occlusion
myocardial infarction
obesity
percutaneous coronary intervention
pulmonary vein isolation
risk factors
rivaroxaban
sleep apnea
stents
stroke
surgical ablation
thromboembolism
warfarin
Humans
United States
Atrial Fibrillation
American Heart Association
Cardiology
Thromboembolism
Risk Factors
Language
Abstract
AIM: The 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Patients With Atrial Fibrillation provides recommendations to guide clinicians in the treatment of patients with atrial fibrillation. METHODS: A comprehensive literature search was conducted from May 12, 2022, to November 3, 2022, encompassing studies, reviews, and other evidence conducted on human subjects that were published in English from PubMed, EMBASE, the Cochrane Library, the Agency for Healthcare Research and Quality, and other selected databases relevant to this guideline. Additional relevant studies, published through November 2022, during the guideline writing process, were also considered by the writing committee and added to the evidence tables, where appropriate. STRUCTURE: Atrial fibrillation is the most sustained common arrhythmia, and its incidence and prevalence are increasing in the United States and globally. Recommendations from the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation and the 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation have been updated with new evidence to guide clinicians. In addition, new recommendations addressing atrial fibrillation and thromboembolic risk assessment, anticoagulation, left atrial appendage occlusion, atrial fibrillation catheter or surgical ablation, and risk factor modification and atrial fibrillation prevention have been developed.