2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart...

Abstract

AIM The “2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation” provides recommendations to guide clinicians in the treatment of patients with atrial fibrillation. METHODS A comprehensive literature search was conducted from May 12, 2022, to November 3, 2022, encompassing studies, reviews, and other evidence conducted on human subjects that were published in English from PubMed, EMBASE, the Cochrane Library, the Agency for Healthcare Research and Quality, and other selected databases relevant to this guideline. Additional relevant studies, published through November 2022, during the guideline writing process, were also considered by the writing committee and added to the evidence tables, where appropriate. STRUCTURE Atrial fibrillation is the most sustained common arrhythmia, and its incidence and prevalence are increasing in the United States and globally. Recommendations from the “2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation” and the “2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation” have been updated with new evidence to guide clinicians. In addition, new recommendations addressing atrial fibrillation and thromboembolic risk assessment, anticoagulation, left atrial appendage occlusion, atrial fibrillation catheter or surgical ablation, and risk factor modification and atrial fibrillation prevention have been developed.

Keywords

MedicineAtrial fibrillationGuidelineManagement of atrial fibrillationCardiologyInternal medicineCatheter ablationIntensive care medicineSystematic reviewCochrane LibraryMEDLINERandomized controlled trialPathology

MeSH Terms

HumansAmerican Heart AssociationAtrial FibrillationCardiologyRisk FactorsThromboembolismUnited States

Affiliated Institutions

Related Publications

2018 AHA/ACC/AACVPR/AAPA/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Blood Cholesterol: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines

Scott M. Grundy , Neil J. Stone , Alison Bailey +21 more

Since 1980, the American College of Cardiology (ACC) and American Heart Association (AHA) have translated scientific evidence into clinical practice guidelines with recommendati...

2019 Circulation 6020 citations

Guidelines for the Early Management of Patients With Acute Ischemic Stroke: 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke: A Guideline for Healthcare Professionals From the American Heart Association/American Stroke Association

William J. Powers , Alejandro A. Rabinstein , Teri Ackerson +16 more

Background and Purpose— The purpose of these guidelines is to provide an up-to-date comprehensive set of recommendations in a single document for clinicians caring for adult pat...

2019 Stroke 6607 citations

Surviving Sepsis Campaign

R. Phillip Dellinger , Mitchell M. Levy , Andrew Rhodes +20 more

To provide an update to the "Surviving Sepsis Campaign Guidelines for Management of Severe Sepsis and Septic Shock," last published in 2008. A consensus committee of 68 internat...

2013 Critical Care Medicine 9630 citations

2. Classification and Diagnosis of Diabetes:<i>Standards of Medical Care in Diabetes—2022</i>

The American Diabetes Association (ADA) “Standards of Medical Care in Diabetes” includes the ADA’s current clinical practice recommendations and is intended to provide the compo...

2021 Diabetes Care 4482 citations

Outcome of Watchful Waiting in Asymptomatic Severe Mitral Regurgitation

Raphaël Rosenhek , Florian Rader , Ursula Klaar +6 more

Background— The management of asymptomatic severe mitral regurgitation remains controversial. The aim of this study was to evaluate the outcome of a watchful waiting strategy in...

2006 Circulation 508 citations

Publication Info

Year: 2023
Type: article
Volume: 149
Issue: 1
Pages: e1-e156
Citations: 1730
Access: Closed

External Links

Download PDF (Free) View on DOI.org PubMed Semantic Scholar

Social Impact

Altmetric

2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines

PlumX Metrics

Social media, news, blog, policy document mentions

Citation Metrics

1730

OpenAlex

Influential

Cite This

APA Style

                            
                                
                                    José A. Joglar, 
                                
                                    Mina K. Chung, 
                                
                                    Anastasia L. Armbruster
                                
                                et al.
                            
                            (2023). 
                            2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. 
                            Circulation
                            , 149
                            (1)
                            , e1-e156.
                            https://doi.org/10.1161/cir.0000000000001193
                        

Identifiers

DOI: 10.1161/cir.0000000000001193
PMID: 38033089
PMCID: PMC11095842

Data Quality

Data completeness: 86%