University at Buffalo, The State University of New York, Buffalo, NY, USA.
Am J Cardiol. 2013 Jun 1;111(11):1660-70. doi: 10.1016/j.amjcard.2013.01.338. Epub 2013 Mar 16.
Atrial fibrillation is one of the most common and complex cardiac arrhythmias. Using currently available evidence, leading medical societies have established recommendations for the optimal management of atrial fibrillation. These guidelines have recently been updated by 4 consensus groups: the European Society of Cardiology, the American College of Chest Physicians, the Canadian Cardiovascular Society, and a task force of 3 societies from the United States: the American College of Cardiology Foundation, the American Heart Association, and the Heart Rhythm Society. The present review focused on the similarities and differences among these recently updated guidelines. Key revisions included updated information on newer treatments for rhythm control, treatment options to reduce atrial fibrillation complications, and updated anticoagulant management for thromboprophylaxis.
心房颤动是最常见和最复杂的心律失常之一。利用目前现有的证据,主要的医学学会已经为心房颤动的最佳治疗制定了推荐意见。这些指南最近由 4 个共识小组进行了更新:欧洲心脏病学会、美国胸科医师学会、加拿大心血管学会,以及来自美国的 3 个学会的一个工作组:美国心脏病学院基金会、美国心脏协会和心律学会。本次综述重点介绍了这些最近更新的指南之间的异同。主要修订包括节律控制治疗的新治疗方法的更新信息、减少心房颤动并发症的治疗选择,以及更新的抗栓管理以进行血栓预防。