ANMCO-SIMEU Consensus Document: Appropriate management of atrial fibrillation in the Emergency Department

被引：0

作者：

Caldarola, Pasquale ^{[1
]}

De Iaco, Fabio ^{[2
]}

Pugliese, Francesco Rocco ^{[3
]}

De Luca, Leonardo ^{[4
]}

Fabbri, Andrea ^{[5
]}

Riccio, Carmine ^{[6
]}

Scicchitano, Pietro ^{[7
]}

Vanni, Simone ^{[8
,9
]}

Di Pasquale, Giuseppe ^{[10
]}

Gulizia, Michele Massimo ^{[11
]}

Gabrielli, Domenico ^{[4
,12
]}

Oliva, Fabrizio ^{[13
]}

Colivicchi, Furio ^{[14
]}

机构：

[1] UO Cardiol UTIC, Osped San Paolo, Bari, Italy

[2] AO Martini, Pronto Soccorso & Med Urgenza, Turin, Italy

[3] UOC, Osped Sandro Pertini, Med Chirurgia Accettaz & Urgenza, Rome, Italy

[4] UOC, Dipartimento Cardio Toraco Vasc, Azienda Osped San Camillo Forlanini, Cardiol, Rome, Italy

[5] Azienda USL Romagna, Pronto Soccorso & Med Urgenza 118, Forli, Italy

[6] UOSD, Dipartimento Cardiovasc, AORN SantAnna & San Sebastiano, Caserta, Italy

[7] UO Cardiol UTIC, Osped F Perinei, Altamura, BA, Italy

[8] Osped San Giuseppe, SOC Med Urgenza, Empoli, FI, Italy

[9] Azienda USL Toscana Ctr, Dipartimento Emergenza & Area Crit, Direttore Area Formazione, Florence, Italy

[10] Direzione Gen Cura Persona Salute & Welf, Bologna, Italy

[11] UOC, Osped Garibaldi Nesima, Azienda Rilievo Nazl Alta Specializzazione Gariba, Cardiol, Catania, Italy

[12] Fdn Tuo Cuore Heart Care Fdn, Florence, Italy

[13] ASST Grande Osped Metropolitano Niguarda, Cardiol 1, Emodinam Dipartimento Cardiotoracovasc Gasperis, Milan, Italy

[14] UOC Cardiol Clin & Riabilitativa, Presidio Osped San Filippo Neri, ASL Roma 1, Rome, Italy

来源：

GIORNALE ITALIANO DI CARDIOLOGIA | 2023年 / 24卷 / 02期

关键词：

  Atrial fibrillation; Cardiology department; Diagnostic-therapeutic clinical pathway; Emergency department; Management; CHRONIC KIDNEY-DISEASE; ACUTE ISCHEMIC-STROKE; ANTAGONIST ORAL ANTICOAGULANTS; HEART RHYTHM SOCIETY; STRICT RATE CONTROL; RISK STRATIFICATION; UNITED-STATES; CLINICAL-PRACTICE; GLOBAL BURDEN; HEALTH-CARE;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Atrial fibrillation (AF) accounts for 2% of the total presentations to the emergency department (ED) and represents the most frequent arrhythmic cause for hospitalization. It steadily increases the risk of thromboembolic events and is often associated with several comorbidities that negatively affect patient???s quality of life and prognosis. AF has a considerable on healthcare resources, making the pro-motion of an adequate and coordinated management of this arrhythmia necessary in order to avoid clinical complications and to implement the adoption of appropriate technological and pharmacological treatment options. AF management varies across regions and hospitals and there is also heterogeneity in the use of anticoagulation and electric cardioversion, with limited use of direct oral anticoagulants. The ED represents the first access point for early management of patients with AF. The appropriate man-agement of this arrhythmia in the acute setting has a great impact on improving patient???s quality of life and outcomes as well as on rationalization of the financial resources related to the clinical course of AF. Therefore, physicians should provide a well-structured clinical and diagnostic pathway for patients with AF who are admitted to the ED. This should be based on a tight and propositional collaboration among several specialists, i.e. the ED physician, cardiologist, internal medicine physician, anesthesiologist. The aim of this ANMCO-SIMEU consensus document is to provide shared recommendations for pro-moting an integrated, accurate, and up-to-date management of patients with AF admitted to the ED or Cardiology Department, so as to make it homogeneous across the national territory.

引用

页码：136 / 159

页数：24

共 179 条

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