The 2018 Korean Heart Rhythm Society Guidelines for Integrated Management of Korean patients with Nonvalvular Atrial Fibrillation.
10.3904/kjm.2018.93.4.336
- Author:
Junbeom PARK
1
;
Boyoung JOUNG
;
Jun KIM
;
Jin Bae KIM
;
Hyung Wook PARK
;
Yae Min PARK
;
Jae Sun UHM
;
Jinhee AHN
;
Dae In LEE
;
June Soo KIM
;
Man Young LEE
Author Information
1. Division of Cardiology, Department of Internal Medicine, Ewha Womans University Medical Center, Seoul, Korea.
- Publication Type:Practice Guideline ; Review
- Keywords:
Atrial fibrillation;
Integrative medicine;
Practice guideline;
Stroke
- MeSH:
Aged;
Arrhythmias, Cardiac;
Atrial Fibrillation*;
Dementia;
Follow-Up Studies;
Heart Failure;
Heart*;
Hospitalization;
Humans;
Incidence;
Integrative Medicine;
Mass Screening;
Physicians, Primary Care;
Primary Health Care;
Prognosis;
Stroke
- From:Korean Journal of Medicine
2018;93(4):336-343
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Atrial fibrillation (AF) is the most common form of sustained arrhythmia in elderly patients. However, AF is often detected during health screening, or accidentally during testing for other diseases; some patients lack clinical symptoms. Nevertheless, AF increases the incidence of ischemic stroke and other thrombotic events, and compromises cardiovascular prognosis in terms of heart failure, dementia, and hospitalization. Therefore, initial AF management should be performed at the point of primary care, not only in specialized medical centers. We wish to propose a five-step management protocol for AF. We review the evidence supporting integrated management by primary care physicians new to AF, and by specialized physicians who often diagnose and manage AF. Further, we also outline a structured goal-based follow-up protocol; this is an important part of integrated management.
