Joung Boyoung, Lee Jung Myung, Lee Ki Hong, Kim Tae Hoon, Choi Eue Keun, Lim Woo Hyun, Kang Ki Woon, Shim Jaemin, Lim Hong Euy, Park Junbeom, Lee So Ryoung, Lee Young Soo, Kim Jin Bae
Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Division of Cardiology, Department of Internal Medicine, Kyung Hee University Medical College, Seoul, Korea.
Korean Circ J. 2018 Dec;48(12):1033-1080. doi: 10.4070/kcj.2018.0339.
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in the general population. The Korean Heart Rhythm Society organized a Korean AF Management Guideline Committee and analyzed all available studies regarding the management of AF, including studies on Korean patients. This guideline is based on recent data of the Korean population and the recent guidelines of the European Society of Cardiology, European Association for Cardio-Thoracic Surgery, American Heart Association, and Asia Pacific Heart Rhythm Society. Expert consensus or guidelines for the optimal management of Korean patients with AF were achieved after a systematic review with intensive discussion. This article provides general principles for appropriate risk stratification and selection of anticoagulation therapy in Korean patients with AF. This guideline deals with optimal stroke prevention, screening, rate and rhythm control, risk factor management, and integrated management of AF.
心房颤动(AF)是普通人群中最常见的持续性心律失常。韩国心律学会组织了韩国房颤管理指南委员会,并分析了所有关于房颤管理的现有研究,包括针对韩国患者的研究。本指南基于韩国人群的最新数据以及欧洲心脏病学会、欧洲心胸外科学会、美国心脏协会和亚太心律学会的最新指南。经过系统回顾和深入讨论,达成了韩国房颤患者最佳管理的专家共识或指南。本文提供了韩国房颤患者进行适当风险分层和选择抗凝治疗的一般原则。本指南涉及房颤的最佳卒中预防、筛查、心率和节律控制、危险因素管理以及综合管理。