Chinese guidelines for the diagnosis and management of atrial fibrillation.
Chang Sheng MaShulin WuWen-Shao LiuYaling HanPublished in: Pacing and clinical electrophysiology : PACE (2024)
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia, significantly impacting patients' quality of life and increasing the risk of death, stroke, heart failure, and dementia. Over the past two decades, there have been significant breakthroughs in AF risk prediction and screening, stroke prevention, rhythm control, catheter ablation, and integrated management. During this period, the scale, quality, and experience of AF management in China have greatly improved, providing a solid foundation for the development of the guidelines for the diagnosis and management of AF. To further promote standardized AF management, and apply new technologies and concepts to clinical practice timely and fully, the Chinese Society of Cardiology of Chinese Medical Association and the Heart Rhythm Committee of Chinese Society of Biomedical Engineering jointly developed the Chinese Guidelines for the Diagnosis and Management of Atrial Fibrillation. The guidelines comprehensively elaborated on various aspects of AF management and proposed the CHA 2 DS 2 ‑VASc‑60 stroke risk score based on the characteristics of the Asian AF population. The guidelines also reevaluated the clinical application of AF screening, emphasized the significance of early rhythm control, and highlighted the central role of catheter ablation in rhythm control.
Keyphrases
- atrial fibrillation
- catheter ablation
- clinical practice
- left atrial
- heart failure
- left atrial appendage
- oral anticoagulants
- direct oral anticoagulants
- percutaneous coronary intervention
- ejection fraction
- end stage renal disease
- newly diagnosed
- healthcare
- cognitive impairment
- cardiac surgery
- peritoneal dialysis
- patient reported outcomes
- coronary artery disease
- venous thromboembolism