《2024 ESC/EACTS心房颤动管理指南》解读与思考

Interpretation and consideration of 2024 ESC Guideline for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery(EACTS)

本文纵向比较《2024 ESC/EACTS心房颤动管理指南》的核心与特点,对2024指南提出的AF-CARE路径进行解读和分析。凝炼了CARE各部分如合并症和风险因素管理、预防卒中和血栓栓塞、控制心率和节律减轻症状、评价和动态评估的更新要点,以指导临床实践。明确2024指南中亟待解决的几个问题,对未来心房颤动循证医学研究有启示作用。

This paper compares the core and characteristics of 2024 ESC Guideline for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery(EACTS)longitudinally,and interprets the AF-CARE path proposed from the guideline.The updated points of four parts of CARE,such as comorbidity and risk factor management,avoid stroke and thromboembolism,reduce symptoms by rate and rhythm control,evaluation and dynamic reassessment,are condensed to guide clinical practice.The guideline clarified some problems that would be solved urgently,which enlightened the future researches based on evidence in atrial fibrillation.