The 2020 Canadian Cardiovascular Society/Canadian Heart Rhythm Society Comprehensive Guidelines for the Management of Atrial Fibrillation

医学 指南 心房颤动 心房颤动的处理 心律 加拿大心血管学会 分级(工程) 重症监护医学 知识翻译 质量管理 医疗急救 管理制度 病理 心脏病学 知识管理 运营管理 心肌梗塞 经济 土木工程 心绞痛 工程类 计算机科学
作者
Jason G. Andrade,Martín Aguilar,Clare Atzema,Alan Bell,John A. Cairns,Christopher C. Cheung,Jafna L. Cox,Paul Dorian,David J. Gladstone,Jeff S. Healey,Paul Khairy,Kori Leblanc,M. Sean McMurtry,L. Brent Mitchell,Girish M. Nair,Stanley Nattel,Ratika Parkash,Louise Pilote,Roopinder K. Sandhu,J. Sarrazin,Mukul Sharma,Allan C. Skanes,Mario Talajic,Teresa S.M. Tsang,Atul Verma,Subodh Verma,Richard P. Whitlock,D. George Wyse,Laurent Macle
出处
期刊:Canadian Journal of Cardiology [Elsevier]
卷期号:36 (12): 1847-1948 被引量:426
标识
DOI:10.1016/j.cjca.2020.09.001
摘要

The Canadian Cardiovascular Society (CCS) atrial fibrillation (AF) guidelines program was developed to aid clinicians in the management of these complex patients, as well as to provide direction to policy makers and health care systems regarding related issues. The most recent comprehensive CCS AF guidelines update was published in 2010. Since then, periodic updates were published dealing with rapidly changing areas. However, since 2010 a large number of developments had accumulated in a wide range of areas, motivating the committee to complete a thorough guideline review. The 2020 iteration of the CCS AF guidelines represents a comprehensive renewal that integrates, updates, and replaces the past decade of guidelines, recommendations, and practical tips. It is intended to be used by practicing clinicians across all disciplines who care for patients with AF. The Grading of Recommendations, Assessment, Development and Evaluations (GRADE) system was used to evaluate recommendation strength and the quality of evidence. Areas of focus include: AF classification and definitions, epidemiology, pathophysiology, clinical evaluation, screening and opportunistic AF detection, detection and management of modifiable risk factors, integrated approach to AF management, stroke prevention, arrhythmia management, sex differences, and AF in special populations. Extensive use is made of tables and figures to synthesize important material and present key concepts. This document should be an important aid for knowledge translation and a tool to help improve clinical management of this important and challenging arrhythmia.
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