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[2024年欧洲心脏病学会心房颤动管理指南:以房颤关爱作为新信条]

[The 2024 ESC guidelines for management of atrial fibrillation : AF-CARE as new credo].

作者信息

Wolfes Julian, Eckardt Lars

机构信息

Klinik für Kardiologie II - Rhythmologie, Universitätsklinikum Münster, Albert-Schweitzer Campus 1, 48149, Münster, Deutschland.

出版信息

Herzschrittmacherther Elektrophysiol. 2024 Dec;35(4):318-323. doi: 10.1007/s00399-024-01053-7. Epub 2024 Nov 13.

Abstract

The new 2024 ESC guidelines on the management of patients with atrial fibrillation (AF) introduces the AF-CARE pathway as the central acronym for AF management. As a result, the management of Comorbidities and risk factors is moving to the forefront of AF management. However, the new guideline also includes important changes in Avoidance stroke and thromboembolism, such as a modified risk score (CHADS-VA) and a statement on anticoagulation in subclinical atrial fibrillation. There are also changes in the concepts of Rhythm and rate control with an upgrading of rhythm control and catheter ablation. Finally, the guideline recommends regular Evaluation and reassessment of the patient's course for optimal AF management. Here, we summarize key points of the new guidelines and discusses some recommendations on aspects that can also be assessed differently.

摘要

2024年欧洲心脏病学会(ESC)关于心房颤动(AF)患者管理的新指南引入了AF-CARE路径,作为AF管理的核心首字母缩写词。因此,合并症和危险因素的管理正走向AF管理的前沿。然而,新指南在预防中风和血栓栓塞方面也有重要变化,例如修改后的风险评分(CHADS-VA)以及关于亚临床心房颤动抗凝治疗的声明。在节律和心率控制概念方面也有变化,节律控制和导管消融得到了升级。最后,该指南建议对患者病程进行定期评估和重新评估,以实现最佳的AF管理。在此,我们总结新指南的要点,并讨论在某些方面也可进行不同评估的一些建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b691/11604822/663e653a0f78/399_2024_1053_Fig1_HTML.jpg

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