2020 guidelines for the diagnosis and management of atrial fibrillation

2020 ◽  
Vol 15 (12) ◽  
pp. 1-6
Author(s):  
Belinda Linden
Keyword(s):  
Atrial Fibrillation ◽  
Thoracic Surgery ◽  
European Society ◽  
European Association ◽  
Diagnosis And Management ◽  
European Society Of Cardiology ◽  
Cardiovascular Nursing

Belinda Linden presents a quarterly overview of recently published guidance of relevance to cardiovascular nursing. This update reviews the 2020 guidelines from the European Society of Cardiology and the European Association of Cardio-Thoracic Surgery regarding the diagnosis and management of atrial fibrillation.

scholarly journals Antiarrhythmic therapy for atrial fibrillation: current guidelines of the European Society of Cardiology and the European Association for Cardio-Thoracic Surgery (ESC/EACTS)

2021 ◽  
Vol 20 (5) ◽  
pp. 2962
Author(s):  
A. I. Tarzimanova ◽  
V. L. Doshchitsin
Keyword(s):  
Atrial Fibrillation ◽  
Thoracic Surgery ◽  
European Society ◽  
Rate Control ◽  
European Association ◽  
Rhythm Control ◽  
Ventricular Rate ◽  
Thromboembolic Events ◽  
Increased Risk ◽  
European Society Of Cardiology

The treatment of atrial fibrillation (AF) remains one of the most difficult tasks in modern cardiology. In 2020, the European Society of Cardiology (ESC), together with the European Association for Cardio-Thoracic Surgery (EACTS), published guidelines for the diagnosis and management of AF, which include several new directives.ESC experts have formulated a novel concept for treatment of AF patients. The first component of treatment ‘A' (Anticoagulation/ Avoid stroke) is anticoagulant therapy in patients with increased risk of thromboembolic events. The second line of treatment ‘B' (Better symptom control) is the control of arrhythmia symptoms, selection of a rhythm control strategy or ventricular rate control. The third direction ‘C' includes cardiovascular risk factors and comorbid conditions management.The most challenging tasks in AF treatment are the control of arrhythmia symptoms. As in the previous version of 2016 guidelines, the latest ones identify 2 following strategies in treatment of AF: rhythm control and ventricular rate control.According to the current ESC/EACTS guidelines (2020), antiarrhythmic therapy continues to be one of the important directions in AF management. Early prescription f antiarrhythmic and anticoagulant agents with an increased risk of thromboembolic events, catheter ablation can not only improve the quality of life, but also the prognosis of patients with AF.

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