Korean J Med.
2018 Aug;93(4):336-343. 10.3904/kjm.2018.93.4.336.
The 2018 Korean Heart Rhythm Society Guidelines for Integrated Management of Korean patients with Nonvalvular Atrial Fibrillation
- Affiliations
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- 1Division of Cardiology, Department of Internal Medicine, Ewha Womans University Medical Center, Seoul, Korea.
- 2Division of Cardiology, Yonsei University Severance Hospital, Seoul, Korea. cby6908@yuhs.ac
- 3Division of Cardiology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
- 4Division of Cardiology, Department of Internal Medicine, Kyung Hee University Medical Center, Seoul, Korea.
- 5Division of Cardiology, Department of Internal Medicine, Chonnam National University Hospital, Gwangju, Korea.
- 6Division of Cardiology, Department of Internal Medicine, Gachon Uniersity Gil Medical Center, Incheon, Korea.
- 7Division of Cardiology, Department of Internal Medicine, Busan National University Hospital, Busan, Korea.
- 8Division of Cardiology, Department of Internal Medicine, Chungbuk National University Hospital, Chungju, Korea.
- 9Division of Cardiology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
- 10Divison of Cardiology, Department of Internal Medicine, The Catholic University of Korea Yeouido St. Mary's Hospital, Seoul, Korea.
- KMID: 2435069
- DOI: http://doi.org/10.3904/kjm.2018.93.4.336
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.
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