2021 Focused Update Consensus Guidelines of the Asia Pacific Heart Rhythm Society on Stroke Prevention in Atrial Fibrillation: Executive Summary

Abstract The consensus of the Asia Pacific Heart Rhythm Society (APHRS) on stroke prevention in atrial fibrillation (AF) has been published in 2017 which provided useful clinical guidance for cardiologists, neurologists, geriatricians, and general practitioners in the Asia-Pacific region. In these y...

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Veröffentlicht in:Thrombosis and haemostasis Jg. 122; H. 1; S. 020 - 047
Hauptverfasser: Chao, Tze-Fan, Joung, Boyoung, Takahashi, Yoshihide, Lim, Toon Wei, Choi, Eue-Keun, Chan, Yi-Hsin, Guo, Yutao, Sriratanasathavorn, Charn, Oh, Seil, Okumura, Ken, Lip, Gregory Y. H.
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Rüdigerstraße 14, 70469 Stuttgart, Germany Georg Thieme Verlag KG 01.01.2022
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ISSN:0340-6245, 2567-689X, 2567-689X
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Abstract Abstract The consensus of the Asia Pacific Heart Rhythm Society (APHRS) on stroke prevention in atrial fibrillation (AF) has been published in 2017 which provided useful clinical guidance for cardiologists, neurologists, geriatricians, and general practitioners in the Asia-Pacific region. In these years, many important new data regarding stroke prevention in AF were reported. The practice guidelines subcommittee members comprehensively reviewed updated information on stroke prevention in AF, and summarized them in this 2021 focused update of the 2017 consensus guidelines of the APHRS on stroke prevention in AF. We highlighted and focused on several issues, including the importance of the AF Better Care pathway, the advantages of non-vitamin K antagonist oral anticoagulants (NOACs) for Asians, the considerations of use of NOACs for Asian AF patients with single one stroke risk factor beyond gender, the role of lifestyle factors on stroke risk, the use of oral anticoagulants during the “coronavirus disease 2019” pandemic, etc. We fully realize that there are gaps, unaddressed questions, and many areas of uncertainty and debate in the current knowledge of AF, and the physician's decision remains the most important factor in the management of AF.
AbstractList The consensus of the Asia Pacific Heart Rhythm Society (APHRS) on stroke prevention in atrial fibrillation (AF) has been published in 2017 which provided useful clinical guidance for cardiologists, neurologists, geriatricians, and general practitioners in the Asia-Pacific region. In these years, many important new data regarding stroke prevention in AF were reported. The practice guidelines subcommittee members comprehensively reviewed updated information on stroke prevention in AF, and summarized them in this 2021 focused update of the 2017 consensus guidelines of the APHRS on stroke prevention in AF. We highlighted and focused on several issues, including the importance of the AF Better Care pathway, the advantages of non-vitamin K antagonist oral anticoagulants (NOACs) for Asians, the considerations of use of NOACs for Asian AF patients with single one stroke risk factor beyond gender, the role of lifestyle factors on stroke risk, the use of oral anticoagulants during the "coronavirus disease 2019" pandemic, etc. We fully realize that there are gaps, unaddressed questions, and many areas of uncertainty and debate in the current knowledge of AF, and the physician's decision remains the most important factor in the management of AF.
The consensus of the Asia Pacific Heart Rhythm Society (APHRS) on stroke prevention in atrial fibrillation (AF) has been published in 2017 which provided useful clinical guidance for cardiologists, neurologists, geriatricians, and general practitioners in the Asia-Pacific region. In these years, many important new data regarding stroke prevention in AF were reported. The practice guidelines subcommittee members comprehensively reviewed updated information on stroke prevention in AF, and summarized them in this 2021 focused update of the 2017 consensus guidelines of the APHRS on stroke prevention in AF. We highlighted and focused on several issues, including the importance of the AF Better Care pathway, the advantages of non-vitamin K antagonist oral anticoagulants (NOACs) for Asians, the considerations of use of NOACs for Asian AF patients with single one stroke risk factor beyond gender, the role of lifestyle factors on stroke risk, the use of oral anticoagulants during the "coronavirus disease 2019" pandemic, etc. We fully realize that there are gaps, unaddressed questions, and many areas of uncertainty and debate in the current knowledge of AF, and the physician's decision remains the most important factor in the management of AF.The consensus of the Asia Pacific Heart Rhythm Society (APHRS) on stroke prevention in atrial fibrillation (AF) has been published in 2017 which provided useful clinical guidance for cardiologists, neurologists, geriatricians, and general practitioners in the Asia-Pacific region. In these years, many important new data regarding stroke prevention in AF were reported. The practice guidelines subcommittee members comprehensively reviewed updated information on stroke prevention in AF, and summarized them in this 2021 focused update of the 2017 consensus guidelines of the APHRS on stroke prevention in AF. We highlighted and focused on several issues, including the importance of the AF Better Care pathway, the advantages of non-vitamin K antagonist oral anticoagulants (NOACs) for Asians, the considerations of use of NOACs for Asian AF patients with single one stroke risk factor beyond gender, the role of lifestyle factors on stroke risk, the use of oral anticoagulants during the "coronavirus disease 2019" pandemic, etc. We fully realize that there are gaps, unaddressed questions, and many areas of uncertainty and debate in the current knowledge of AF, and the physician's decision remains the most important factor in the management of AF.
Abstract The consensus of the Asia Pacific Heart Rhythm Society (APHRS) on stroke prevention in atrial fibrillation (AF) has been published in 2017 which provided useful clinical guidance for cardiologists, neurologists, geriatricians, and general practitioners in the Asia-Pacific region. In these years, many important new data regarding stroke prevention in AF were reported. The practice guidelines subcommittee members comprehensively reviewed updated information on stroke prevention in AF, and summarized them in this 2021 focused update of the 2017 consensus guidelines of the APHRS on stroke prevention in AF. We highlighted and focused on several issues, including the importance of the AF Better Care pathway, the advantages of non-vitamin K antagonist oral anticoagulants (NOACs) for Asians, the considerations of use of NOACs for Asian AF patients with single one stroke risk factor beyond gender, the role of lifestyle factors on stroke risk, the use of oral anticoagulants during the “coronavirus disease 2019” pandemic, etc. We fully realize that there are gaps, unaddressed questions, and many areas of uncertainty and debate in the current knowledge of AF, and the physician's decision remains the most important factor in the management of AF.
Author Guo, Yutao
Takahashi, Yoshihide
Chao, Tze-Fan
Oh, Seil
Joung, Boyoung
Lim, Toon Wei
Choi, Eue-Keun
Sriratanasathavorn, Charn
Lip, Gregory Y. H.
Okumura, Ken
Chan, Yi-Hsin
Author_xml – sequence: 1
  givenname: Tze-Fan
  surname: Chao
  fullname: Chao, Tze-Fan
  organization: Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital
– sequence: 2
  givenname: Boyoung
  surname: Joung
  fullname: Joung, Boyoung
  organization: Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Republic of Korea
– sequence: 3
  givenname: Yoshihide
  surname: Takahashi
  fullname: Takahashi, Yoshihide
  organization: The Department of Advanced Arrhythmia Research, Tokyo Medical and Dental University, Tokyo, Japan
– sequence: 4
  givenname: Toon Wei
  surname: Lim
  fullname: Lim, Toon Wei
  organization: National University Heart Centre, National University Hospital, Singapore
– sequence: 5
  givenname: Eue-Keun
  surname: Choi
  fullname: Choi, Eue-Keun
  organization: Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea
– sequence: 6
  givenname: Yi-Hsin
  surname: Chan
  fullname: Chan, Yi-Hsin
  organization: Microscopy Core Laboratory, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan
– sequence: 7
  givenname: Yutao
  orcidid: 0000-0002-7626-7751
  surname: Guo
  fullname: Guo, Yutao
  organization: Pulmonary Vessel and Thrombotic Disease, Chinese PLA General Hospital, Beijing, China
– sequence: 8
  givenname: Charn
  surname: Sriratanasathavorn
  fullname: Sriratanasathavorn, Charn
  organization: Her Majesty Cardiac Center, Siriraj, Thailand
– sequence: 9
  givenname: Seil
  surname: Oh
  fullname: Oh, Seil
  organization: Department of Internal Medicine, Seoul National University Hospital, Seoul, Republic of Korea
– sequence: 10
  givenname: Ken
  surname: Okumura
  fullname: Okumura, Ken
  organization: Division of Cardiology, Saiseikai Kumamoto Hospital, Kumamoto, Japan
– sequence: 11
  givenname: Gregory Y. H.
  orcidid: 0000-0002-7566-1626
  surname: Lip
  fullname: Lip, Gregory Y. H.
  organization: Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark
BackLink https://www.ncbi.nlm.nih.gov/pubmed/34773920$$D View this record in MEDLINE/PubMed
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Keywords executive summary
atrial fibrillation
APHRS
consensus guidelines
stroke prevention
Language English
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Snippet Abstract The consensus of the Asia Pacific Heart Rhythm Society (APHRS) on stroke prevention in atrial fibrillation (AF) has been published in 2017 which...
The consensus of the Asia Pacific Heart Rhythm Society (APHRS) on stroke prevention in atrial fibrillation (AF) has been published in 2017 which provided...
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SubjectTerms Acute Coronary Syndrome - complications
Administration, Oral
Anticoagulants - administration & dosage
Anticoagulants - adverse effects
Anticoagulants - therapeutic use
Asia - epidemiology
Atrial Fibrillation - complications
Atrial Fibrillation - drug therapy
Atrial Fibrillation - epidemiology
Catheter Ablation
COVID-19 - complications
Female
Heart Disease Risk Factors
Hemorrhage - etiology
Holistic Health
Humans
Male
Pandemics
Percutaneous Coronary Intervention - adverse effects
Review Article
Risk Assessment
SARS-CoV-2
Societies, Medical
Stroke - epidemiology
Stroke - prevention & control
Title 2021 Focused Update Consensus Guidelines of the Asia Pacific Heart Rhythm Society on Stroke Prevention in Atrial Fibrillation: Executive Summary
URI http://dx.doi.org/10.1055/s-0041-1739411
https://www.ncbi.nlm.nih.gov/pubmed/34773920
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Volume 122
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