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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Published in:Thrombosis and haemostasis Vol. 122; no. 1; pp. 020 - 047
Main Authors: 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
Language:English
Published: Rüdigerstraße 14, 70469 Stuttgart, Germany Georg Thieme Verlag KG 01.01.2022
Subjects:
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
Asia
executive summary
atrial fibrillation
APHRS
consensus guidelines
stroke prevention
ISSN:0340-6245, 2567-689X, 2567-689X
Online Access:Get full text
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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 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.
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ISSN:0340-6245
2567-689X
2567-689X
DOI:10.1055/s-0041-1739411