2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

Author:

Joglar José A.,Chung Mina K.,Armbruster Anastasia L.1,Benjamin Emelia J.,Chyou Janice Y.,Cronin Edmond M.,Deswal Anita1,Eckhardt Lee L.,Goldberger Zachary D.,Gopinathannair Rakesh,Gorenek Bulent,Hess Paul L.2,Hlatky Mark,Hogan Gail3,Ibeh Chinwe,Indik Julia H.,Kido Kazuhiko4,Kusumoto Fred,Link Mark S.,Linta Kathleen T.3,Marcus Gregory M.,McCarthy Patrick M.,Patel Nimesh,Patton Kristen K.,Perez Marco V.,Piccini Jonathan P.,Russo Andrea M.5,Sanders Prashanthan,Streur Megan M.,Thomas Kevin L.,Times Sabrina6,Tisdale James E.,Valente Anne Marie7,Van Wagoner David R.

Affiliation:

1. ACC/AHA Joint Committee on Clinical Practice Guidelines liaison.

2. ACC/AHA Joint Committee on Performance Measures liaison.

3. Lay stakeholder representative.

4. American College of Clinical Pharmacy representative.

5. Heart Rhythm Society representative.

6. Joint ACC/AHA staff representative.

7. ACC/AHA Joint Committee on Clinical Data Standards liaison.

Abstract

AIM The “2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation” provides recommendations to guide clinicians in the treatment of patients with atrial fibrillation. METHODS A comprehensive literature search was conducted from May 12, 2022, to November 3, 2022, encompassing studies, reviews, and other evidence conducted on human subjects that were published in English from PubMed, EMBASE, the Cochrane Library, the Agency for Healthcare Research and Quality, and other selected databases relevant to this guideline. Additional relevant studies, published through November 2022, during the guideline writing process, were also considered by the writing committee and added to the evidence tables, where appropriate. STRUCTURE Atrial fibrillation is the most sustained common arrhythmia, and its incidence and prevalence are increasing in the United States and globally. Recommendations from the “2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation” and the “2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation” have been updated with new evidence to guide clinicians. In addition, new recommendations addressing atrial fibrillation and thromboembolic risk assessment, anticoagulation, left atrial appendage occlusion, atrial fibrillation catheter or surgical ablation, and risk factor modification and atrial fibrillation prevention have been developed.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

Reference1617 articles.

1. Committee on Standards for Developing Trustworthy Clinical Practice Guidelines, Institute of Medicine (US). Clinical Practice Guidelines We Can Trust. National Academies Press; 2011.

2. Committee on Standards for Systematic Reviews of Comparative Effectiveness Research, Institute of Medicine (US). Finding What Works in Healthcare: Standards for Systematic Reviews. National Academies Press; 2011.

3. ACC/AHA Statement on Cost/Value Methodology in Clinical Practice Guidelines and Performance Measures

4. ACCF/AHA Task Force on Practice Guidelines. Methodology Manual and Policies From the ACCF/AHA Task Force on Practice Guidelines. American College of Cardiology and American Heart Association. 2010. Accessed September 23 2019. https://www.acc.org/Guidelines/About-Guidelines-and-Clinical-Documents/Methodology and https://professional.heart.org/-/media/phd-files/guidelines-and-statements/methodology_manual_and_policies_ucm_319826.pdf.

5. Further Evolution of the ACC/AHA Clinical Practice Guideline Recommendation Classification System

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