Updated Guideline for Atrial Fibrillation Management

Major changes include greater support for early rhythm control and consideration of ablation as first-line therapy.

Sponsoring Organizations: The American Heart Association (AHA), American College of Cardiology (ACC), American College of Clinical Pharmacy (ACCP), and Heart Rhythm Society (HRS)

Background and Objective

A joint AHA/ACC/ACCP/HRS committee has conducted a comprehensive update of the clinical guidelines for management of atrial fibrillation (AF) based on a systematic review of evidence published through November 2022. Apart from a limited update of the AF guidelines in 2019, the last comprehensive update was published in 2014, and management of AF has changed considerably since its release.

Key Recommendations

Early rhythm control is recommended rather than trying a rate-control strategy. Rhythm control could include antiarrhythmic drugs or ablat…

Reviewing Author

Mark S. Link, MD

Disclosures

Editorial BoardsCirculation; UpToDate

Mark S. Link, MD

Disclosures

Editorial BoardsCirculation; UpToDate

Updated Guideline for Atrial Fibrillation Management

Topics

Background and Objective

Key Recommendations

Reviewing Author