2023 AHA科学声明：急性住院期间发生心房颤动.pdf

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Circulation

AHASCIENTIFICSTATEMENT

AtrialFibrillationOccurringDuringAcute

Hospitalization:AScientificStatementFromthe

AmericanHeartAssociation

JaniceY.Chyou,MD,FAHA,Chair;EbrahimBarkoudah,MD,MPH;JonathanW.Dukes,MD;LarryB.Goldstein,MD,FAHA;

JoseA.Joglar,MD,FAHA;AnsonM.Lee,MD;StevenA.Lubitz,MD,MPH,FAHA;KeithA.Marill,MD,MS;KevinB.Sneed,PharmD;

MeganM.Streur,PhD,ARNP;GrahamC.Wong,MD,MPH,FAHA;RakeshGopinathannair,MD,MA,FAHA,ViceChair;onbehalf

oftheAmericanHeartAssociationAcuteCardiacCareandGeneralCardiologyCommittee,ElectrocardiographyandArrhythmias

Committee,andClinicalPharmacologyCommitteeoftheCouncilonClinicalCardiology;CouncilonCardiovascularSurgeryand

Anesthesia;CouncilonCardiopulmonary,CriticalCare,PerioperativeandResuscitation;CouncilonCardiovascularandStroke

Nursing;andStrokeCouncil

ABSTRACT:Acuteatrialfibrillationisdefinedasatrialfibrillationdetectedinthesettingofacutecareoracuteillness;atrial

fibrillationmaybedetectedormanagedforthefirsttimeduringacutehospitalizationforanothercondition.Atrialfibrillation

aftercardiothoracicsurgeryisadistincttypeofacuteatrialfibrillation.Acuteatrialfibrillationisassociatedwithhighrisk

oflong-termatrialfibrillationrecurrence,warrantingclinicalattentionduringacutehospitalizationandoverlong-term

follow-up.Aframeworkofsubstratesandtriggerscanbeusefulforevaluatingandmanagingacuteatrialfibrillation.Acute

managementrequiresamultiprongedapproachwithinterdisciplinarycarecollaboration,tailoringtreatmentstothepatient’s

underlyingsubstrateandacutecondition.Keycomponentsofacutemanagementincludeidentificationandtreatmentof

triggers,selectionandimplementationofrate/rhythmcontrol,andmanagementofanticoagulation.Acuterateorrhythm

controlstrategyshouldbeindi

无所谓。

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