目的:“2023年ACC/AHA/ACCP/HRS房颤患者诊断和治疗指南”为指导临床医生治疗房颤患者提供了建议。
方法:从2022年5月12日至2022年11月3日进行了全面的文献检索,包括研究,reviews,以及PubMed以英文发表的关于人类受试者的其他证据,EMBASE,Cochrane图书馆,医疗保健研究和质量机构,以及与本指南相关的其他选定数据库。其他相关研究,到2022年11月发布,在指南编写过程中,也由写作委员会审议并添加到证据表中,在适当的地方。
■心房颤动是最常见的持续性心律失常,其发病率和患病率在美国和全球都在增加。“2014年AHA/ACC/HRS房颤患者管理指南”和“2019年AHA/ACC/HRS重点更新2014年AHA/ACC/HRS房颤患者管理指南”的建议已更新,并提供了指导临床医生的新证据。此外,针对心房颤动和血栓栓塞风险评估的新建议,抗凝,左心耳封堵术,心房颤动导管或手术消融,并且已经开发了危险因素修改和房颤预防。
The \"2023 ACC/AHA/ACCP/HRS
Guideline for the Diagnosis and Management of Patients With Atrial Fibrillation\" provides recommendations to guide clinicians in the treatment of patients with atrial fibrillation.
A comprehensive literature search was conducted from May 12, 2022, to November 3, 2022, encompassing studies, reviews, and other evidence conducted on human subjects that were published in English from PubMed, EMBASE, the Cochrane Library, the Agency for Healthcare Research and Quality, and other selected databases relevant to this
guideline. Additional relevant studies, published through November 2022, during the
guideline writing process, were also considered by the writing committee and added to the evidence tables, where appropriate.
Atrial fibrillation is the most sustained common arrhythmia, and its incidence and prevalence are increasing in the United States and globally. Recommendations from the \"2014 AHA/ACC/HRS
Guideline for the Management of Patients With Atrial Fibrillation\" and the \"2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS
Guideline for the Management of Patients With Atrial Fibrillation\" have been updated with new evidence to guide clinicians. In addition, new recommendations addressing atrial fibrillation and thromboembolic risk assessment, anticoagulation, left atrial appendage occlusion, atrial fibrillation catheter or surgical ablation, and risk factor modification and atrial fibrillation prevention have been developed.