Related Experiment Video
Updated: Jul 9, 2025
28:13
Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
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2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American
José A Joglar, Mina K Chung, Anastasia L Armbruster1
1ACC/AHA Joint Committee on Clinical Practice Guidelines liaison.
Circulation
|November 30, 2023
Summary
The updated 2023 guideline offers new recommendations for diagnosing and managing atrial fibrillation (AF). It incorporates the latest evidence on risk assessment, anticoagulation, and prevention strategies for this common arrhythmia.
Area of Science:
- Cardiology
- Clinical Practice Guidelines
Background:
- Atrial fibrillation (AF) is the most common sustained arrhythmia, with increasing global incidence and prevalence.
- Existing guidelines from 2014 and 2019 have been updated to reflect new evidence.
Purpose of the Study:
- To provide updated recommendations for the diagnosis and management of atrial fibrillation.
- To guide clinicians in the treatment of patients with atrial fibrillation based on the latest evidence.
Main Methods:
- A comprehensive literature search was conducted from May 2022 to November 2022.
- Included studies, reviews, and evidence on human subjects from major databases like PubMed and EMBASE.
- Additional studies published through November 2022 were considered.
Main Results:
- New recommendations have been developed for key areas of atrial fibrillation management.
- These include updated guidance on thromboembolic risk assessment and anticoagulation.
- Novel recommendations cover left atrial appendage occlusion, catheter/surgical ablation, and risk factor modification for AF prevention.
Conclusions:
- The 2023 guideline offers comprehensive, evidence-based recommendations for atrial fibrillation diagnosis and management.
- It addresses critical aspects including anticoagulation, ablation, and prevention strategies.
- These updates aim to improve clinical decision-making and patient outcomes for atrial fibrillation.
Keywords:
AHA Scientific Statementsacute coronary syndromealcoholanticoagulantsanticoagulation agentsantiplatelet agentsapixabanatrial fibrillationatrial fluttercardioversioncatheter ablationcoronary artery diseasecoronary heart diseasedabigatranedoxabanexerciseheart failurehypertensionidarucizumableft atrial appendage occlusionmyocardial infarctionobesitypercutaneous coronary interventionpulmonary vein isolationrisk factorsrivaroxabansleep apneastentsstrokesurgical ablationthromboembolismwarfarin
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