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2018 Korean Guideline of Atrial Fibrillation Management
Boyoung Joung1, Jung Myung Lee2, Ki Hong Lee3
1Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. cby6908@yuhs.ac.
Insights
This guideline offers expert recommendations for managing atrial fibrillation (AF) in Korean patients. It focuses on risk stratification and anticoagulation for optimal stroke prevention and integrated care.
Area of Science:
- Cardiology
- Clinical Practice Guidelines
Background:
- Atrial fibrillation (AF) is the most prevalent sustained cardiac arrhythmia.
- Effective management strategies are crucial for preventing complications like stroke.
Purpose of the Study:
- To develop evidence-based guidelines for optimal AF management in the Korean population.
- To provide a framework for risk stratification and anticoagulation therapy selection.
Main Methods:
- Systematic review of available studies, including those on Korean patients.
- Analysis of recent international guidelines (ESC, EACTS, AHA, AP HRA).
- Expert consensus achieved through intensive discussion.
Main Results:
- Guidelines cover general principles for risk stratification and anticoagulation.
- Recommendations address stroke prevention, screening, rate/rhythm control, and risk factor management.
- Emphasis on integrated management of AF.
Conclusions:
- The guideline provides tailored recommendations for Korean patients with AF.
- It aims to optimize stroke prevention and overall patient care.
- Integrated management approach is recommended for comprehensive AF treatment.
Abstract:
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in the general population. The Korean Heart Rhythm Society organized a Korean AF Management Guideline Committee and analyzed all available studies regarding the management of AF, including studies on Korean patients. This guideline is based on recent data of the Korean population and the recent guidelines of the European Society of Cardiology, European Association for Cardio-Thoracic Surgery, American Heart Association, and Asia Pacific Heart Rhythm Society. Expert consensus or guidelines for the optimal management of Korean patients with AF were achieved after a systematic review with intensive discussion. This article provides general principles for appropriate risk stratification and selection of anticoagulation therapy in Korean patients with AF. This guideline deals with optimal stroke prevention, screening, rate and rhythm control, risk factor management, and integrated management of AF.
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