Grupo de Arritmias Cardiacas y Síncope, Sociedad Española de Medicina de Urgencias y Emergencias. Servicio de Urgencias, Hospital Universitario de Móstoles, Madrid, España.
Asociación del Ritmo Cardiaco, Sociedad Española de Cardiología. Servicio de Cardiología, Instituto Cardiovascular, Hospital Clínico San Carlos, Madrid, España.
Emergencias. 2023 Oct;35(5):359-377. doi: 10.55633/s3me/E027.2023.
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.
心房颤动（AF）是急诊科最常见的持续性心律失常，而这种心律失常在西班牙的发病率已经很高。这种与死亡率和发病率增加相关的严重疾病对患者的生活质量和医疗系统的功能产生负面影响。AF 的管理需要考虑多种临床变量和大量可能的治疗方法，因此需要制定行动计划来协调多个医学专业的工作，以提供适当的护理并优化资源。本共识声明根据特殊情况对现有证据进行了调整，提出了基于现有证据的急诊科 AF 管理建议。该声明由来自西班牙急诊医学学会（SEMES）、西班牙心脏病学会（SEC）和西班牙血栓与止血学会（SETH）的多学科专家团队起草。详细讨论了卒中预防策略、控制心率和心律的措施以及相关的诊断和后勤问题。
