2021 Focused update of the 2017 consensus guidelines of the Asia Pacific Heart Rhythm Society (APHRS) on stroke prevention in atrial fibrillation

被引：63

作者：

Chao, Tze-Fan ^{[1
,2
,3
]}

Joung, Boyoung ^{[4
]}

Takahashi, Yoshihide ^{[5
]}

Lim, Toon Wei ^{[6
]}

Choi, Eue-Keun ^{[7
]}

Chan, Yi-Hsin ^{[8
,9
]}

Guo, Yutao ^{[10
]}

Sriratanasathavorn, Charn ^{[11
]}

Oh, Seil ^{[7
]}

Okumura, Ken ^{[12
]}

Lip, Gregory Y. H. ^{[13
,14
,15
]}

机构：

[1] Taipei Vet Gen Hosp, Dept Med, Div Cardiol, 201,Sec 2,Shih Pai Rd, Taipei, Taiwan

[2] Natl Yang Ming Chiao Tung Univ, Inst Clin Med, Taipei, Taiwan

[3] Natl Yang Ming Chiao Tung Univ, Cardiovasc Res Ctr, Taipei, Taiwan

[4] Yonsei Univ, Dept Internal Med, Div Cardiol, Coll Med, Seoul, South Korea

[5] Tokyo Med & Dent Univ, Dept Adv Arrhythmia Res, Tokyo, Japan

[6] Natl Univ Singapore Hosp, Natl Univ Heart Ctr, Singapore, Singapore

[7] Seoul Natl Univ Hosp, Dept Internal Med, Seoul, South Korea

[8] Chang Gung Mem Hosp, Microscopy Core Lab, Taoyuan, Taiwan

[9] Chang Gung Univ, Coll Med, Taoyuan, Taiwan

[10] Chinese Peoples Liberat Army Gen Hosp, Pulm Vessel & Thrombot Dis, Beijing, Peoples R China

[11] Her Majesty Cardiac Ctr, Siriraj, Thailand

[12] Saiseikai Kumamoto Hosp, Div Cardiol, Kumamoto, Japan

[13] Univ Liverpool, Liverpool Ctr Cardiovasc Sci, Liverpool, Merseyside, England

[14] Liverpool Heart & Chest Hosp, Liverpool, Merseyside, England

[15] Aalborg Univ, Dept Clin Med, Aalborg Thrombosis Res Unit, Aalborg, Denmark

来源：

JOURNAL OF ARRHYTHMIA | 2021年 / 37卷 / 06期

关键词：

APHRS; atrial fibrillation; consensus guidelines; stroke prevention; ANTAGONIST ORAL ANTICOAGULANTS; TRANSIENT ISCHEMIC ATTACK; CARDIAC-ARRHYTHMIA SOCIETY; MOBILE HEALTH TECHNOLOGY; BLEEDING RISK-ASSESSMENT; CARDIOLOGY WORKING GROUP; VITAMIN-K ANTAGONISTS; SOUTHERN AFRICA CASSA; AF-TIMI; 48; APPENDAGE CLOSURE;

D O I：

10.1002/joa3.12652

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The consensus of the Asia Pacific Heart Rhythm Society (APHRS) on stroke prevention in atrial fibrillation (AF) has been published in 2017 which provided useful clinical guidance for cardiologists, neurologists, geriatricians, and general practitioners in Asia-Pacific region. In these years, many important new data regarding stroke prevention in AF were reported. The Practice Guidelines subcommittee members comprehensively reviewed updated information on stroke prevention in AF, and summarized them in this 2021 focused update of the 2017 consensus guidelines of the APHRS on stroke prevention in AF. We highlighted and focused on several issues, including the importance of AF Better Care (ABC) pathway, the advantages of non-vitamin K antagonist oral anticoagulants (NOACs) for Asians, the considerations of use of NOACs for Asian patients with AF with single 1 stroke risk factor beyond gender, the role of lifestyle factors on stroke risk, the use of oral anticoagulants during the "coronavirus disease 2019" (COVID-19) pandemic, etc. We fully realize that there are gaps, unaddressed questions, and many areas of uncertainty and debate in the current knowledge of AF, and the physician's decision remains the most important factor in the management of AF.

引用

页码：1389 / 1426

页数：38

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