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[心房颤动的新指南]

[New guidelines for atrial fibrillation].

作者信息

Khan Mashroor, Björkenheim Anna, Svennberg Emma

机构信息

doktorand, leg -läkare, hjärtkliniken, ---Danderyds sjukhus, Stockholm.

med dr, överläkare, VO hjärt-lungmedicin och klinisk fysiologi, Universitetssjuk-huset Örebro; ledamot i Hjärtrytmgruppen, Svenska kardiolog-föreningen.

出版信息

Lakartidningen. 2025 Apr 3;122:24154.

Abstract

Atrial fibrillation is a chronic and complex condition. The new 2024 European Society of Cardiology guidelines emphasize a holistic approach to managing atrial fibrillation, introducing the AF-CARE framework. The guidelines prioritize addressing (C) Comorbidities and risk factors for all patients, irrespective of their thromboembolic risk or symptoms. This is followed by strategies to (A) Avoid stroke and thromboembolism, and to (R) Reduce symptoms through rate and rhythm control, potentially improving prognosis. Finally, (E) Evaluation and reassessment should be individualized, with a dynamic approach that adapts to changes in the patient's condition over time.

摘要

心房颤动是一种慢性复杂病症。2024年欧洲心脏病学会新指南强调采用整体方法管理心房颤动,引入了AF-CARE框架。该指南优先处理所有患者的(C)合并症和危险因素,无论其血栓栓塞风险或症状如何。其次是(A)避免中风和血栓栓塞以及(R)通过心率和节律控制减轻症状的策略,这可能改善预后。最后,(E)评估和重新评估应个体化,采用动态方法以适应患者病情随时间的变化。

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