2023年 ACC/AHA/ACCP/HRS 動脈動の診断と管理に関するガイドライン: アメリカ心臓病学会/アメリカ心臓病学協会の臨床実践ガイドラインに関する合同委員会の報告書
José A Joglar, Mina K Chung, Anastasia L Armbruster1
1ACC/AHA Joint Committee on Clinical Practice Guidelines liaison.
Circulation
|November 30, 2023
まとめ
更新された2023年ガイドラインは,心房細動 (AF) の診断と管理のための新しい勧告を提供します. この一般的な不律性に対するリスク評価,抗凝固薬,予防戦略に関する最新の証拠が組み込まれています.
科学分野:
- 心臓病科
- クリニカル・プラクティスのガイドライン
背景:
- 心房細動 (AF) は最も一般的な持続不律症で,全般的な発生率と罹患率は増加しています.
- 2014年と2019年の既存のガイドラインは,新しい証拠を反映するために更新されました.
研究 の 目的:
- 心房細動の診断と管理のための最新の勧告を提供すること.
- 最新の証拠に基づいて,心房細動患者の治療に臨床医を指導する.
主な方法:
- 2022年5月から2022年11月まで,包括的な文献検索が行われました.
- 研究,レビュー,PubMedやEMBASEのような主要なデータベースからのヒトに関する証拠が含まれています.
- 2022年11月までに発表された追加研究も検討した.
主要な成果:
- 心房細動の管理の重要な分野について,新しい勧告が策定されています.
- 血栓塞栓リスク評価と抗凝固薬に関する最新ガイドラインが含まれています.
- 新規の推奨事項は,左心房閉塞,カテーテル/手術による切除,およびAFの予防のためのリスク因子の修正です.
結論:
- 2023年ガイドラインは,心房細動の診断と管理のための包括的な,証拠に基づいた勧告を提供します.
- 血液の凝固抑制,除去,予防戦略など 重要な側面を扱っています
- これらの更新は,心房細動の臨床意思決定と患者のアウトカムを改善することを目的としています.
関連する概念動画
ECG Interpretation of Arrhythmias II: Atrial, Junctional and Ventricular Arrhythmias
21
Arrhythmia is a condition characterized by an irregular heart rhythm, with ECG changes that differ based on its origin and nature. The types of arrhythmias discussed below include atrial, junctional, and ventricular arrhythmias.Atrial ArrhythmiasPremature Atrial Complexes (PACs): PACs are early atrial beats caused by stress, caffeine, alcohol, electrolyte imbalances, hypoxia, hyperthyroidism, or certain medications (e.g., bronchodilators and decongestants). The ECG shows early P waves with an...
21
Disturbances in Heart Rhythm
972
Arrhythmia or dysrhythmia refers to an abnormal heart rhythm caused by a defect in the heart's conduction system. It can cause the heart to beat irregularly, too quickly, or too slowly, leading to symptoms like chest pain, shortness of breath, and fainting. Factors such as stress, caffeine, alcohol, nicotine, cocaine, certain drugs, congenital defects, diseases, and electrolyte abnormalities can trigger arrhythmias.
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
Arrhythmias are categorized by their speed, rhythm, and origin. A slow...
972
Asthma-IV: Diagnostic and Management
2.5K
The diagnosis and management of asthma are comprehensive, encompassing clinical assessments, lung function tests, and pharmacological interventions. Here's an overview:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
Clinical Assessment for Asthma:
This is the first step in diagnosing and managing asthma. It includes:
2.5K
Cardiac Catheterization IV: Nursing Management
25
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
25
Cardiovascular Drugs: Classification based on Therapeutic Indications
2.9K
Cardiovascular diseases, encompassing a range of conditions, can significantly affect the heart's operations and the overall circulatory system. These conditions impair the heart's ability to pump blood, leading to a deficit in oxygen supply to crucial organs. Anomalies in the heart's electrical system, known as arrhythmias, can cause heartbeats to accelerate or slow down. Usually, heart rates increase during physical activity and decrease while resting or sleeping. However,...
2.9K
Cardiac Catheterization III: Left Heart Catheterization
15
Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
15


