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

Autor: Andrade JG; University of British Columbia, Vancouver, British Columbia, Canada; Institut de Cardiologie de Montréal, Université de Montréal, Montréal, Québec, Canada. Electronic address: jason.andrade@vch.ca., Aguilar M; Institut de Cardiologie de Montréal, Université de Montréal, Montréal, Québec, Canada., Atzema C; University of Toronto, Toronto, Ontario, Canada., Bell A; University of Toronto, Toronto, Ontario, Canada., Cairns JA; University of British Columbia, Vancouver, British Columbia, Canada., Cheung CC; University of British Columbia, Vancouver, British Columbia, Canada., Cox JL; Dalhousie University, Halifax, Nova Scotia, Canada., Dorian P; University of Toronto, Toronto, Ontario, Canada., Gladstone DJ; University of Toronto, Toronto, Ontario, Canada., Healey JS; McMaster University, Hamilton, Ontario, Canada., Khairy P; Institut de Cardiologie de Montréal, Université de Montréal, Montréal, Québec, Canada., Leblanc K; University of Toronto, Toronto, Ontario, Canada., McMurtry MS; University of Alberta, Edmonton, Alberta, Canada., Mitchell LB; University of Calgary, Calgary, Alberta, Canada., Nair GM; University of Ottawa Heart Institute, Ottawa, Ontario, Canada., Nattel S; Institut de Cardiologie de Montréal, Université de Montréal, Montréal, Québec, Canada., Parkash R; Dalhousie University, Halifax, Nova Scotia, Canada., Pilote L; McGill University, Montreal, Quebec, Canada., Sandhu RK; University of Alberta, Edmonton, Alberta, Canada., Sarrazin JF; Institut universitaire de cardiologie et de pneumologie de Québec, Université Laval, Québec, Québec, Canada., Sharma M; McMaster University, Population Health Research Institute, Hamilton, Ontario, Canada., Skanes AC; Western University, London, Ontario, Canada., Talajic M; Montreal Heart Institute, University of Montreal, Montréal, Quebec, Canada., Tsang TSM; University of British Columbia, Vancouver, British Columbia, Canada., Verma A; Southlake Regional Health Centre, University of Toronto, Toronto, Ontario, Canada., Verma S; University of Toronto, Toronto, Ontario, Canada., Whitlock R; McMaster University, Hamilton, Ontario, Canada., Wyse DG; University of Calgary, Calgary, Alberta, Canada., Macle L; Institut de Cardiologie de Montréal, Université de Montréal, Montréal, Québec, Canada.
Jazyk: angličtina
Zdroj: The Canadian journal of cardiology [Can J Cardiol] 2020 Dec; Vol. 36 (12), pp. 1847-1948. Date of Electronic Publication: 2020 Oct 22.
DOI: 10.1016/j.cjca.2020.09.001
Abstrakt: 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.
(Copyright © 2020 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE