2024 ACC Expert Consensus Decision Pathway on Practical Approaches for Arrhythmia Monitoring After Stroke

IF 21.7 1区 医学 Q1 CARDIAC & CARDIOVASCULAR SYSTEMS
Writing Committee, Michael T. Spooner MD, FACC (Chair), Steven R. Messé MD (Vice Chair), Seemant Chaturvedi MD, Monika M. Do DNP, AGNP-C, PMHNP-C, FACC, Ty J. Gluckman MD, MHA, FACC, Janet K. Han MD, FACC, Andrea M. Russo MD, FACC, Sherry J. Saxonhouse MD, FACC, Newton B. Wiggins MD, FACC
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引用次数: 0
2024 ACC专家共识决策途径卒中后心律失常监测的实用方法:美国心脏病学会解决方案监督委员会的报告
章节片段解决方案集监督委员会科尔M. Bhave, MD, FACC,主席niti R. Aggarwal, MD, FACCKatie Bates, ARNP, DNPJohn P. Erwin III, MD, FACC玛莎古拉蒂,MD, MS, FACCDharam J. Kumbhani, MD, SM, FACCGurusher S. Panjrath, MBBS, FACCBarbara Wiggins, PharmD, FACCMegan Coylewright, MD, MPH, FACC,当然委员介绍22。假设与定义一般临床假设定义33。途径概述图4图1路径概要图途径44.1的描述、原理和含义。假定心源性卒中需要抗凝治疗的成人44.1.1。监视角色4图2。脑卒中后监测流程图及治疗策略推定为小血管或大血管疾病的成人缺血性中风54.2.1。监控角色74.3。来源不明的缺血性脑卒中成人84.3.1。角色假设和定义为了便于解释本ECDP中提供的建议,写作委员会根据具体情况作出了具体假设。卒中后心律失常监测需要三个重要步骤(图1)。第一步是多学科评估,以确定卒中的任何潜在机制。最终,中风可能被确定为隐源性。第二步是风险评估,以确定心律失常在中风中起作用或可能在未来中风或非中风发病率中起作用的可能性。最后一步是为需要抗凝治疗的假定心源性卒中成人患者选择最佳监测策略许多假定心源性缺血性卒中患者需要抗凝治疗以降低未来事件的风险。需要考虑长期抗凝治疗的条件包括房颤、左房或左室血栓、消融后左心房附件电隔离、风湿性二尖瓣狭窄伴栓塞事件、机械心脏瓣膜、心脏淀粉样变性、左心室不压实、射血分数严重降低(特别是当总裁和员工kathleen Biga、MSN、FACC、总裁kathleen C. Gates、首席执行官richard J. Kovacs、MD、MACC、首席医疗官brendan Mullen,高级执行副总裁joseph M. Allen, MA,科学和质量团队领导;amy Dearborn,决策科学团队领导;ashleigh M. Covington, MA,决策科学交付团队领导;alan Shinkar,公共卫生硕士,决策科学交付助理;grace D. Ronan,科学出版物和指南高级生产和运营经理
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来源期刊
CiteScore
42.70
自引率
3.30%
发文量
5097
审稿时长
2-4 weeks
期刊介绍: The Journal of the American College of Cardiology (JACC) publishes peer-reviewed articles highlighting all aspects of cardiovascular disease, including original clinical studies, experimental investigations with clear clinical relevance, state-of-the-art papers and viewpoints. Content Profile: -Original Investigations -JACC State-of-the-Art Reviews -JACC Review Topics of the Week -Guidelines & Clinical Documents -JACC Guideline Comparisons -JACC Scientific Expert Panels -Cardiovascular Medicine & Society -Editorial Comments (accompanying every Original Investigation) -Research Letters -Fellows-in-Training/Early Career Professional Pages -Editor’s Pages from the Editor-in-Chief or other invited thought leaders
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