title: Implications for your practice: Important changes in the 2014 guideline for the management of patients with atrial fibrillation.
abstract: Atrial fibrillation (AF) is an increasingly common cardiac arrhythmia, currently affecting more than 5 million Americans. Management of patients with AF can be complex, with key strategies including selecting rhythm control versus heart rate control and reducing the patient's risk of stroke or other systemic embolization. The American Heart Association, American College of Cardiology, and Heart Rhythm Society released 2014 Guideline for the Management of Patients with Atrial Fibrillation, which outlines several new recommendations with important clinical implications. Among these are a new recommendation to use the CHA2DS2-Vasc score for stroke risk assessment, rather than the previously advised CHADS2 score, expansion of anticoagulation options in selected patients, decreased emphasis on the role of aspirin, and an increased emphasis on the role of catheter ablation.
authors: University of Missouri - Cardiology , Columbia, MO , USA.
authors: Rachel
authors: R
authors: Littrell
authors: Greg
authors: G
authors: Flaker
mesh_terms: D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000627:therapeutic use; D001281:Atrial Fibrillation / Q000150:complications / Q000175:diagnosis* / Q000628:therapy*; D017115:Catheter Ablation; D004554:Electric Countershock; D006801:Humans; D017410:Practice Guidelines as Topic; D013923:Thromboembolism / Q000209:etiology / Q000517:prevention & control; D014481:United States
chemical_list: D000889:Anti-Arrhythmia Agents; D000925:Anticoagulants
keywords: Atrial fibrillation; anticoagulation; atrial flutter; warfarin