2017 consensus of the Asia Pacific Heart Rhythm Society on stroke prevention in atrial fibrillation
Atrial fibrillation (AF) is the most common sustained arrhythmia, causing a 2‐fold increase in mortality and a 5‐fold increase in stroke. The Asian population is rapidly aging, and in 2050, the estimated population with AF will reach 72 million, of whom 2.9 million may suffer from AF‐associated stro...
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| Veröffentlicht in: | Journal of arrhythmia Jg. 33; H. 4; S. 345 - 367 |
|---|---|
| Hauptverfasser: | , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
Japan
John Wiley & Sons, Inc
01.08.2017
Elsevier Wiley |
| Schlagworte: | |
| ISSN: | 1880-4276, 1883-2148 |
| Online-Zugang: | Volltext |
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| Abstract | Atrial fibrillation (AF) is the most common sustained arrhythmia, causing a 2‐fold increase in mortality and a 5‐fold increase in stroke. The Asian population is rapidly aging, and in 2050, the estimated population with AF will reach 72 million, of whom 2.9 million may suffer from AF‐associated stroke. Therefore, stroke prevention in AF is an urgent issue in Asia. Many innovative advances in the management of AF‐associated stroke have emerged recently, including new scoring systems for predicting stroke and bleeding risks, the development of non‐vitamin K antagonist oral anticoagulants (NOACs), knowledge of their special benefits in Asians, and new techniques. The Asia Pacific Heart Rhythm Society (APHRS) aimed to update the available information, and appointed the Practice Guideline sub‐committee to write a consensus statement regarding stroke prevention in AF. The Practice Guidelines sub‐committee members comprehensively reviewed updated information on stroke prevention in AF, emphasizing data on NOACs from the Asia Pacific region, and summarized them in this 2017 Consensus of the Asia Pacific Heart Rhythm Society on Stroke Prevention in AF. This consensus includes details of the updated recommendations, along with their background and rationale, focusing on data from the Asia Pacific region. We hope this consensus can be a practical tool for cardiologists, neurologists, geriatricians, and general practitioners in this region. 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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| AbstractList | Atrial fibrillation (AF) is the most common sustained arrhythmia, causing a 2-fold increase in mortality and a 5-fold increase in stroke. The Asian population is rapidly aging, and in 2050, the estimated population with AF will reach 72 million, of whom 2.9 million may suffer from AF-associated stroke. Therefore, stroke prevention in AF is an urgent issue in Asia. Many innovative advances in the management of AF-associated stroke have emerged recently, including new scoring systems for predicting stroke and bleeding risks, the development of non-vitamin K antagonist oral anticoagulants (NOACs), knowledge of their special benefits in Asians, and new techniques. The Asia Pacific Heart Rhythm Society (APHRS) aimed to update the available information, and appointed the Practice Guideline sub-committee to write a consensus statement regarding stroke prevention in AF. The Practice Guidelines sub-committee members comprehensively reviewed updated information on stroke prevention in AF, emphasizing data on NOACs from the Asia Pacific region, and summarized them in this 2017 Consensus of the Asia Pacific Heart Rhythm Society on Stroke Prevention in AF. This consensus includes details of the updated recommendations, along with their background and rationale, focusing on data from the Asia Pacific region. We hope this consensus can be a practical tool for cardiologists, neurologists, geriatricians, and general practitioners in this region. 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. Atrial fibrillation (AF) is the most common sustained arrhythmia, causing a 2-fold increase in mortality and a 5-fold increase in stroke. The Asian population is rapidly aging, and in 2050, the estimated population with AF will reach 72 million, of whom 2.9 million may suffer from AF-associated stroke. Therefore, stroke prevention in AF is an urgent issue in Asia. Many innovative advances in the management of AF-associated stroke have emerged recently, including new scoring systems for predicting stroke and bleeding risks, the development of non-vitamin K antagonist oral anticoagulants (NOACs), knowledge of their special benefits in Asians, and new techniques. The Asia Pacific Heart Rhythm Society (APHRS) aimed to update the available information, and appointed the Practice Guideline sub-committee to write a consensus statement regarding stroke prevention in AF. The Practice Guidelines sub-committee members comprehensively reviewed updated information on stroke prevention in AF, emphasizing data on NOACs from the Asia Pacific region, and summarized them in this 2017 Consensus of the Asia Pacific Heart Rhythm Society on Stroke Prevention in AF. This consensus includes details of the updated recommendations, along with their background and rationale, focusing on data from the Asia Pacific region. We hope this consensus can be a practical tool for cardiologists, neurologists, geriatricians, and general practitioners in this region. 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.Atrial fibrillation (AF) is the most common sustained arrhythmia, causing a 2-fold increase in mortality and a 5-fold increase in stroke. The Asian population is rapidly aging, and in 2050, the estimated population with AF will reach 72 million, of whom 2.9 million may suffer from AF-associated stroke. Therefore, stroke prevention in AF is an urgent issue in Asia. Many innovative advances in the management of AF-associated stroke have emerged recently, including new scoring systems for predicting stroke and bleeding risks, the development of non-vitamin K antagonist oral anticoagulants (NOACs), knowledge of their special benefits in Asians, and new techniques. The Asia Pacific Heart Rhythm Society (APHRS) aimed to update the available information, and appointed the Practice Guideline sub-committee to write a consensus statement regarding stroke prevention in AF. The Practice Guidelines sub-committee members comprehensively reviewed updated information on stroke prevention in AF, emphasizing data on NOACs from the Asia Pacific region, and summarized them in this 2017 Consensus of the Asia Pacific Heart Rhythm Society on Stroke Prevention in AF. This consensus includes details of the updated recommendations, along with their background and rationale, focusing on data from the Asia Pacific region. We hope this consensus can be a practical tool for cardiologists, neurologists, geriatricians, and general practitioners in this region. 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 | Siu, Chung‐Wah Saxena, Anil Takahashi, Yoshihide Chiang, Chern‐En Wei Lim, Toon Chao, Tze‐Fan Siong Teo, Wee Zhang, Shu Okumura, Ken |
| AuthorAffiliation | j National Heart Centre, Singapore d Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan b Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, Kumamoto, Japan c State Key Laboratory of Cardiovascular Disease, Fuwai Hospital; National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People׳s Republic of China e Institute of Clinical Medicine, and Cardiovascular Research Center, National Yang-Ming University, Taipei, Taiwan h Cardiac Pacing & Electrophysiology Center, Fortis Escorts Heart Institute, New Delhi, India g National University Heart Centre, National University Hospital, Singapore f Cardiology Division, Department of Medicine, The University of Hong Kong, Hong Kong, China i Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan a General Clinical Research Center and Division of Cardiology, Taipei Veterans General Hospital |
| AuthorAffiliation_xml | – name: c State Key Laboratory of Cardiovascular Disease, Fuwai Hospital; National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, People׳s Republic of China – name: a General Clinical Research Center and Division of Cardiology, Taipei Veterans General Hospital and National Yang-Ming University, Taipei, Taiwan – name: b Division of Cardiology, Saiseikai Kumamoto Hospital Cardiovascular Center, Kumamoto, Japan – name: j National Heart Centre, Singapore – name: d Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan – name: g National University Heart Centre, National University Hospital, Singapore – name: i Department of Cardiovascular Medicine, Tokyo Medical and Dental University, Tokyo, Japan – name: h Cardiac Pacing & Electrophysiology Center, Fortis Escorts Heart Institute, New Delhi, India – name: e Institute of Clinical Medicine, and Cardiovascular Research Center, National Yang-Ming University, Taipei, Taiwan – name: f Cardiology Division, Department of Medicine, The University of Hong Kong, Hong Kong, China |
| Author_xml | – sequence: 1 givenname: Chern‐En surname: Chiang fullname: Chiang, Chern‐En email: cechiang@vghtpe.gov.tw – sequence: 2 givenname: Ken surname: Okumura fullname: Okumura, Ken – sequence: 3 givenname: Shu surname: Zhang fullname: Zhang, Shu – sequence: 4 givenname: Tze‐Fan surname: Chao fullname: Chao, Tze‐Fan – sequence: 5 givenname: Chung‐Wah surname: Siu fullname: Siu, Chung‐Wah – sequence: 6 givenname: Toon surname: Wei Lim fullname: Wei Lim, Toon – sequence: 7 givenname: Anil surname: Saxena fullname: Saxena, Anil – sequence: 8 givenname: Yoshihide surname: Takahashi fullname: Takahashi, Yoshihide – sequence: 9 givenname: Wee surname: Siong Teo fullname: Siong Teo, Wee |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/28765771$$D View this record in MEDLINE/PubMed |
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| Snippet | Atrial fibrillation (AF) is the most common sustained arrhythmia, causing a 2‐fold increase in mortality and a 5‐fold increase in stroke. The Asian population... Atrial fibrillation (AF) is the most common sustained arrhythmia, causing a 2-fold increase in mortality and a 5-fold increase in stroke. The Asian population... |
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| StartPage | 345 |
| SubjectTerms | Age Anticoagulants Anticoagulation Asian people Atrial fibrillation Cardiac arrhythmia Cardiology Diabetes Disease prevention Females Guideline Heart failure Hypertension Ischemia Non-vitamin K antagonist oral anticoagulants Patients Risk factors Stroke Transient ischemic attack Vitamin K antagonist |
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| Title | 2017 consensus of the Asia Pacific Heart Rhythm Society on stroke prevention in atrial fibrillation |
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