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

被引：673

作者：

Joglar, Jose A. ^{[1
,2
]}

Chung, Mina K. ^{[3
]}

Armbruster, Anastasia L. ^{[4
,5
]}

Benjamin, Emelia J. ^{[6
,7
,8
,9
]}

Chyou, Janice Y. ^{[10
,11
]}

Cronin, Edmond M. ^{[12
]}

Deswal, Anita ^{[13
]}

Eckhardt, Lee L. ^{[14
,15
]}

Goldberger, Zachary D. ^{[16
,17
,18
]}

Gopinathannair, Rakesh ^{[19
,20
,21
]}

Gorenek, Bulent ^{[22
,23
,24
]}

Hess, Paul L. ^{[25
]}

Hlatky, Mark ^{[26
,27
]}

Hogan, Gail

Ibeh, Chinwe ^{[28
,29
]}

Indik, Julia H. ^{[30
,31
]}

Kido, Kazuhiko ^{[32
]}

Kusumoto, Fred ^{[33
]}

Link, Mark S. ^{[34
,35
]}

Linta, Kathleen T.

Marcus, Gregory M. ^{[36
,37
,38
]}

McCarthy, Patrick M. ^{[39
,40
,41
]}

Patel, Nimesh ^{[42
]}

Patton, Kristen K. ^{[43
]}

Perez, Marco V. ^{[44
]}

Piccini, Jonathan P. ^{[45
]}

Russo, Andrea M. ^{[46
,47
,48
]}

Sanders, Prashanthan ^{[49
,50
,51
]}

Streur, Megan M. ^{[52
,53
,54
]}

Thomas, Kevin L. ^{[55
,56
,57
]}

Times, Sabrina ^{[58
]}

Tisdale, James E. ^{[59
,60
]}

Valente, Anne Marie ^{[61
,62
,63
,64
]}

Van Wagoner, David R. ^{[65
]}

机构：

[1] UT Southwestern Med Ctr, Dallas, TX 75390 USA

[2] Clin Affairs Parkland, Dept Internal Med Elizabeth Thaxton & Ellis Batte, New Orleans, LA 70056 USA

[3] Case Western Reserve Univ, Cleveland Clin,Lerner Res Inst, Lerner Coll Med,Dept Cardiovasc & Metab Sci, Cardiac Pacing & Elect,Dept Cardiovasc Med,Heart, Cleveland, OH USA

[4] UHSP, St Louis Coll Pharm, St Louis, MO USA

[5] UHSP, Pharm Practice, St Louis, MO USA

[6] Boston Univ, Schools Med & Publ Hlth, Framingham Heart Study, Boston, MA USA

[7] Boston Univ, Fac Dev, Med Campus, Boston, MA USA

[8] Boston Univ, Fac Dev & Divers, Dept Med, Boston, MA USA

[9] Boston Univ, Boston Med Ctr, Med Grp, Boston, MA USA

[10] Icahn Sch Med Mt Sinai, New York, NY 10029 USA

[11] Icahn Sch Med Mt Sinai, Cardiac Electrophysiol Cardiol Heart & Heart Rhyt, New York, NY 10029 USA

[12] Temple Univ Hosp Main Campus, Temple Heart & Vasc Inst, Philadelphia, PA USA

[13] Univ Texas MD Anderson Canc Ctr, Dept Cardiol, Houston, TX USA

[14] Univ Wisconsin Madison, Med Gary & Marie Weiner, Madison, WI USA

[15] Univ Wisconsin Madison, Cardiovasc Med Res Cellular & Mol Arrhythmia Res, Div Cardiovasc Med, Madison, WI USA

[16] Univ Wisconsin Madison, Sch Med & Publ Hlth, Div Cardiovasc Med, Electrophy, Madison, WI USA

[17] Univ Wisconsin Madison, Program Med, Madison, WI USA

[18] Univ Wisconsin Madison, Cardiovasc Dis Fellowship, Madison, WI USA

[19] Univ Louisville, Louisville, KY 40292 USA

[20] Univ Missouri, Cardiac EP Lab, Columbia, MO 65211 USA

[21] Kansas City Heart Rhythm Inst, Med Res Ctr, Kansas City, MO USA

[22] Eskisehir Osmangazi Univ, Sch Med Cardiovasc Dis, Arrhythmias Intens Cardiac Care Unit, Eskisehir, Turkiye

[23] Eskisehir Osmangazi Univ, Cardiol, Eskisehir, Turkiye

[24] Eskisehir Osmangazi Univ, Dept Cardiol, Eskisehir, Turkiye

[25] Univ Colorado, Sch Med, Seattle Denver Ctr Innovat, Rocky Mt Reg VA Med Ctr, Boulder, CO USA

[26] Stanford Univ, Sch Medi, Stanford, CA USA

[27] Stanford Univ, Hlth Policy & Med Cardiovasc Med, Stanford, CA USA

[28] Columbia Univ CUIMC, Neurol Inst New York, New York, NY USA

[29] Columbia Univ CUIMC, Dept Neurol, Div Stroke & Cerebrovasc Dis, New York, NY USA

[30] Univ Arizona, Coll Med, Tucson, AZ 85721 USA

[31] Sarver Heart Ctr, Cardiovasc Dis Fellowship Program, Div Cardiol, Tucson, AZ USA

[32] West Virginia Univ, Cardiol Pharm Special, Adv Heart Failure & Pulm Hypertens, Morgantown, WV USA

[33] Mayo Clin, Jacksonville, FL USA

[34] UT Southwestern Med Ctr Dallas, Dallas, TX USA

[35] UT Southwestern Med Ctr Dallas, Laurence & Susan HirschCentex Distinguished Chair, Cardiac Electrophysiol, Dept Internal Med,Div Cardiol, Dallas, TX USA

[36] Univ Calif San Francisco, Med, San Francisco, CA USA

[37] Univ Calif San Francisco, Cardiol Res, San Francisco, CA USA

[38] Univ Calif San Francisco, Atrial Fibrillat Res, San Francisco, CA USA

[39] Bluhm Cardiovasc Inst, Northwestern Med, Chicago, IL USA

[40] Northwestern Med Grp, Chicago, IL USA

[41] Northwestern Med Grp, Div Cardiac Surg, Chicago, IL USA

[42] UT Southwestern Med Ctr, Med, Clin Cardiac Electrophysiol, Dallas, TX USA

[43] Univ Washington, Med, Seattle, WA USA

[44] Stanford Univ, Dept Med Med Cardiovasc, Univ Med Line, Stanford, CA USA

[45] Duke Univ, Sch Med, Dept Med, Durham, NC USA

[46] Cooper Univ, Med, New York, NY USA

[47] Cooper Univ, Electrophysiol & Arrhythmia Serv, New York, NY USA

[48] Cooper Heart Inst, Clin Cardiac Electrophysiol, New York, NY USA

[49] Univ Adelaide, Royal Adelaide Hosp, Adelaide, SA, Australia

[50] Univ Adelaide, Ctr Heart Rhythm Disorders, Adelaide, SA, Australia

来源：

CIRCULATION | 2024年 / 149卷 / 01期

关键词：

AHA Scientific Statements; acute coronary syndrome; alcohol; anticoagulants; anticoagulation agents; antiplatelet agents; apixaban; atrial fibrillation; atrial flutter; cardioversion; catheter ablation; coronary artery disease; coronary heart disease; dabigatran; edoxaban; exercise; heart failure; hypertension; idarucizumab; left atrial appendage occlusion; myocardial infarction; obesity; percutaneous coronary intervention; pulmonary vein isolation; risk factors; rivaroxaban; sleep apnea; stents; stroke; surgical ablation; thromboembolism; warfarin; WOLFF-PARKINSON-WHITE; PULMONARY VEIN ISOLATION; QUALITY-OF-LIFE; RADIOFREQUENCY CATHETER ABLATION; DIRECT ORAL ANTICOAGULANTS; TERM-FOLLOW-UP; ANTIARRHYTHMIC-DRUG-THERAPY; OBSTRUCTIVE SLEEP-APNEA; DIRECT-CURRENT CARDIOVERSION; VITAMIN-K ANTAGONISTS;

D O I：

10.1161/CIR.0000000000001193

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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.

引用

页码：e1 / e156

页数：156

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