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July 14, 2006Heart

Management of atrial fibrillation: Figure 1

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Population

Patients with atrial fibrillation

Design

Review

Authors

GLGregory Y H Lip

Discussion

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Overview

Synthesizes current AF management evidence; leaves open optimal screening and antithrombotic strategies pending prospective trials.

Key Points

  • Provide a practical, evidence-based approach to the clinical management of atrial fibrillation utilizing consensus guidelines.
  • Reviewed contemporary epidemiological data, morbidity and mortality metrics, and associated cardiovascular comorbidities.
  • Synthesized management guidance from the ACC/AHA/ESC consensus guidelines and UK NICE clinical guidelines.
  • Atrial fibrillation affects approximately 5% of individuals older than 65 years and nearly 10% of those aged older than 80 years.
  • The arrhythmia confers a 1.5- to 1.9-fold increase in mortality risk and has driven a 2- to 3-fold increase in hospitalization rates.
  • Patients experience increased morbidity from thromboembolism, heart failure, and more disabling strokes leading to longer hospitalizations.

Structured PICO

P
Population
Patients with atrial fibrillation

This narrative review provides a comprehensive overview of the clinical management of atrial fibrillation, encompassing screening, rate versus rhythm control, non-pharmacological approaches, and antithrombotic strategies.

Cite This Study

Gregory Y H Lip (2006) studied this question.

synapsesocial.com/papers/6a7de61814e877b18fa14a6fhttps://doi.org/10.1136/hrt.2005.071555
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Duration of atrial fibrillation and imminence of stroke: the Framingham study.1983 · 340 citations
  2. 2Interventions for preventing post-operative atrial fibrillation in patients undergoing heart surgery2013 · 514 citations
  3. 3Atrial Fibrillation After Cardiac Surgery1997 · 714 citations
  4. 4Additive Role of Plasma von Willebrand Factor Levels to Clinical Factors for Risk Stratification of Patients With Atrial Fibrillation2006 · 156 citations
  5. 5Ventricular rate control in chronic atrial fibrillation during daily activity and programmed exercise: a crossover open-label study of five drug regimens1999 · 367 citations