[The 2024 ESC guidelines for management of atrial fibrillation : AF-CARE as new credo].

Q4 Medicine
Julian Wolfes, Lars Eckardt
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引用次数: 0

Abstract

The new 2024 ESC guidelines on the management of patients with atrial fibrillation (AF) introduces the AF-CARE pathway as the central acronym for AF management. As a result, the management of Comorbidities and risk factors is moving to the forefront of AF management. However, the new guideline also includes important changes in Avoidance stroke and thromboembolism, such as a modified risk score (CHA2DS2-VA) and a statement on anticoagulation in subclinical atrial fibrillation. There are also changes in the concepts of Rhythm and rate control with an upgrading of rhythm control and catheter ablation. Finally, the guideline recommends regular Evaluation and reassessment of the patient's course for optimal AF management. Here, we summarize key points of the new guidelines and discusses some recommendations on aspects that can also be assessed differently.

[2024年ESC心房颤动管理指南:AF-CARE作为新信条]。
新的 2024 年 ESC 心房颤动(AF)患者管理指南引入了 AF-CARE 路径,作为房颤管理的核心缩写。因此,合并症和风险因素的管理正成为房颤管理的重中之重。不过,新指南在避免卒中和血栓栓塞方面也有重要变化,例如修改了风险评分(CHA2DS2-VA),并对亚临床心房颤动的抗凝治疗进行了说明。节律和心率控制的概念也有所变化,对节律控制和导管消融进行了升级。最后,该指南建议定期评估和重新评估患者的病程,以优化房颤管理。在此,我们总结了新指南的要点,并讨论了一些也可采用不同评估方法的建议。
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来源期刊
Herzschrittmachertherapie und Elektrophysiologie
Herzschrittmachertherapie und Elektrophysiologie Medicine-Cardiology and Cardiovascular Medicine
CiteScore
1.10
自引率
0.00%
发文量
76
期刊介绍: Mit wissenschaftlichen Original- und Übersichtsarbeiten, Berichten über moderne Operationstechniken und experimentelle Methoden ist die Zeitschrift Herzschrittmachertherapie + Elektrophysiologie ein Diskussionsforum für Themen wie: - Zelluläre Elektrophysiologie - Theoretische Elektrophysiologie - Klinische Elektrophysiologie - Angewandte Herzschrittmachertherapie - Bradykarde und tachykarde Herzrhythmusstörungen - Plötzlicher Herztod und Risikostratifikation - Elektrokardiographie - Elektromedizinische Technologie - Experimentelle und klinische Pharmakologie - Herzchirurgie bei Herzrhythmusstörungen Mitteilungen der Arbeitsgruppen Herzschrittmacher und Arrhythmie der Deutschen Gesellschaft für Kardiologie - Herz und Kreislaufforschung e.V. (DGK) sowie Stellungnahmen und praktische Hinweise runden das breite Spektrum dieser Zeitschrift ab. Interessensgebiete: Kardiologie, Herzschrittmachertherapie, Herzschrittmachertechnologie, klinische Elektrophysiologie
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