Emergency department management of atrial fibrillation: 2023 consensus from the Spanish Society of Emergency Medicine (SEMES), the Spanish Society of Cardiology (SEC), and the Spanish Society of Thrombosis and Hemostasis (SETH).

Alfonso Martín, David Calvo, Pilar Llamas, Vanessa Roldán, Rocío Cózar, Amparo Fernández de Simón, Pablo Ávila, Carmen Del Arco, Elena Arbelo, Pascual Piñera, Blanca Coll-Vinent
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Abstract

Objectives: Atrial fibrillation (AF) is the most prevalent sustained arrhythmia managed in emergency departments, and the already high prevalence of this arrhythmia is increasing in Spain. This serious condition associated with increased mortality and morbidity has a negative impact on patient quality of life and the functioning of the health care system. The management of AF requires consideration of diverse clinical variables and a large number of possible therapeutic approaches, justifying action plans to coordinate the work of several medical specialties in the interest of providing appropriate care and optimizing resources. This consensus statement brings together recommendations for emergency department management of AF based on available evidence adapted to special circumstances. The statement was drafted by a multidisciplinary team of specialists from the Spanish Society of Emergency Medicine (SEMES), the Spanish Society of Cardiology (SEC), and the Spanish Society of Thrombosis and Hemostasis (SETH). Strategies for stroke prophylaxis, measures to bring heart rate and heart rhythm under control, and related diagnostic and logistic issues are discussed in detail.

医院急诊科的工作场所暴力行为及其对医护人员和辅助人员的影响:一项聚类分析。
目的:心房颤动(AF)是急诊科最常见的持续性心律失常,在西班牙,这种心律失常的发病率已经很高。这种与死亡率和发病率增加相关的严重情况对患者的生活质量和医疗保健系统的运作产生了负面影响。房颤的管理需要考虑各种临床变量和大量可能的治疗方法,证明行动计划的合理性,以协调几个医学专业的工作,从而提供适当的护理和优化资源。这份共识声明汇集了根据现有证据对AF急诊科管理提出的建议,这些证据适用于特殊情况。该声明由西班牙急诊医学会(SEMES)、西班牙心脏病学会(SEC)和西班牙血栓和止血学会(SETH)的多学科专家团队起草。详细讨论了中风预防策略、控制心率和心律的措施以及相关的诊断和后勤问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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