The Korean Journal of Medicine

The Korean Association of Internal Medicine (대한내과학회)
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The 2018 Korean Heart Rhythm Society Guidelines for Integrated Management of Korean patients with Nonvalvular Atrial Fibrillation

2018 대한부정맥학회 심방세동 환자의 통합적 관리 지침

  • Park, Junbeom (Division of Cardiology, Department of Internal Medicine, Ewha Womans University Medical Center) ;
  • Joung, Boyoung (Division of Cardiology, Yonsei University Severance Hospital) ;
  • Kim, Jun (Division of Cardiology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kim, Jin-Bae (Division of Cardiology, Department of Internal Medicine, Kyung Hee University Medical Center) ;
  • Park, Hyung Wook (Division of Cardiology, Department of Internal Medicine, Chonnam National University Hospital) ;
  • Park, Yae Min (Division of Cardiology, Department of Internal Medicine, Gachon Uniersity Gil Medical Center) ;
  • Uhm, Jae-Sun (Division of Cardiology, Yonsei University Severance Hospital) ;
  • Ahn, Jinhee (Division of Cardiology, Department of Internal Medicine, Busan National University Hospital) ;
  • Lee, Dae In (Division of Cardiology, Department of Internal Medicine, Chungbuk National University Hospital) ;
  • Kim, June Soo (Division of Cardiology, Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Lee, Man-Young (Divison of Cardiology, Department of Internal Medicine, The Catholic University of Korea Yeouido St. Mary's Hospital)
  • 박준범 (이화여자대학교 의료원 순환기내과) ;
  • 정보영 (연세대학교 세브란스병원 심장내과) ;
  • 김준 (울산대학교 의과대학 서울아산병원 순환기내과) ;
  • 김진배 (경희대학교병원 순환기내과) ;
  • 박형욱 (전남대학교병원 순환기내과) ;
  • 박예민 (가천대 길병원 순환기내과) ;
  • 엄재선 (연세대학교 세브란스병원 심장내과) ;
  • 안진희 (부산대학교병원 순환기내과) ;
  • 이대인 (충북대학교병원 순환기내과) ;
  • 김준수 (성균관대학교 의과대학 삼성서울병원 순환기내과) ;
  • 이만영 (가톨릭대학교 여의도성모병원 순환기내과)
  • Published : 2018.08.01
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Abstract

Atrial fibrillation (AF) is the most common form of sustained arrhythmia in elderly patients. However, AF is often detected during health screening, or accidentally during testing for other diseases; some patients lack clinical symptoms. Nevertheless, AF increases the incidence of ischemic stroke and other thrombotic events, and compromises cardiovascular prognosis in terms of heart failure, dementia, and hospitalization. Therefore, initial AF management should be performed at the point of primary care, not only in specialized medical centers. We wish to propose a five-step management protocol for AF. We review the evidence supporting integrated management by primary care physicians new to AF, and by specialized physicians who often diagnose and manage AF. Further, we also outline a structured goal-based follow-up protocol; this is an important part of integrated management.

Keywords

References

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