Atrial fibrillation, the most common cardiac arrhythmia, increases stroke risk and can exacerbate underlying heart disease. The 2014 ACC/AHA/HRS Guideline for the Management of Patients with Atrial Fibrillation offers a comprehensive approach to treating this condition. A focused update released in 2019 includes new evidence in support of novel drugs and devices to prevent thromboembolism, as well as other clinical considerations. Of note, these recommendations apply to atrial fibrillation (AF) and atrial flutter, regardless of the pattern of arrhythmia (i.e. paroxysmal, persistent, or permanent).
Note: Routine screening for AF in the general population is not currently recommended by the USPSTF | The USPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for AF (I statement)
Choosing an anticoagulant
Note: Caution with use of apixaban and the following
Note: Exercise caution with use of dabigatran and the following
Note: Exercise caution with use of rivaroxaban and the following
2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation
2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society in Collaboration With the Society of Thoracic Surgeons
AAFP: Diagnosis and Treatment of Atrial Fibrillation
Screening for Atrial Fibrillation: US Preventive Services Task Force Recommendation Statement | Atrial Fibrillation
NOAC trials: RE-LY (dabigatran)
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