ACC/AHA Issue Updated Atrial Fibrillation Guideline

The previous classification was largely based only on arrhythmia duration and tended to emphasize specific therapeutic interventions rather than a more holistic and multidisciplinary management approach, Joglar explained.

The new proposed classification, using four stages, recognizes AF as a disease continuum that requires a variety of strategies at different stages, from prevention, lifestyle and risk factor modification, screening, and therapy.

 

  • Stage 1: At risk for AF due to the presence of risk factors

  • Stage 2: Pre-AF, with evidence of structural or electrical findings predisposing to AF

  • Stage 3: AF, including paroxymal (3A), persistent (3B), long-standing persistent (3C), successful AF ablation (3D)

  • Stage 4: Permanent AF

 

The updated guideline recognizes lifestyle and risk factor modification as a "pillar" of AF management and offers "more prescriptive" recommendations, including management of obesity, weight loss, physical activity, smoking cessation, alcohol moderation, hypertension, and other comorbidities.

 

https://www.medscape.com/viewarticle/998956?form=fpf

 

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