2018 대한부정맥학회 심방세동 환자의 통합적 관리 지침
The 2018 Korean Heart Rhythm Society Guidelines for Integrated Management of Korean patients with Nonvalvular Atrial Fibrillation
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초록
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.
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.
참고문헌 (40)
- Kim D, "Increasing trends in hospital care burden of atrial fibrillation in Korea, 2006 through 2015", Heart (2018)
- Yoon M, "Dynamic changes of CHA2DS2-VASc score and the risk of ischaemic stroke in asian patients with atrial fibrillation: a nationwide cohort study", Thromb Haemost, 118, pp.1296~1304 (2018)[DOI]
- Page K, "A systematic approach to chronic heart failure care: a consensus statement", Med J Aust, 201, pp.146~150 (2014)[DOI]
- Stock S, "Chronic care model strategies in the United States and Germany deliver patient-centered, high-quality diabetes care", Health Aff (Millwood), 33, pp.1540~1548 (2014)[DOI]
- Lundstrom H, "The effectiveness of structured personal care of type 2 diabetes on recurrent outcomes: a 19 year follow-up of the study diabetes care in general practice (DCGP)", Diabetologia, 57, pp.1119~1123 (2014)
- Nieuwlaat R, "Guideline-adherent antithrombotic treatment is associated with improved outcomes compared with undertreatment in high-risk patients with atrial fibrillation. The Euro Heart Survey on Atrial Fibrillation", Am Heart J, 153, pp.1006~1012 (2007)[DOI]
- Nuno R, "Integrated care for chronic conditions: the contribution of the ICCC framework", Health Policy, 105, pp.55~64 (2012)[DOI]
- Hendriks JM, "Nurse-led care vs. usual care for patients with atrial fibrillation: results of a randomized trial of integrated chronic care vs. routine clinical care in ambulatory patients with atrial fibrillation", Eur Heart J, 33, pp.2692~2699 (2012)[DOI]
- Hendriks J, "Cost-effectiveness of a specialized atrial fibrillation clinic vs. usual care in patients with atrial fibrillation", Europace, 15, pp.1128~1135 (2013)[DOI]
- Tran HN, "A multidisciplinary atrial fibrillation clinic", Curr Cardiol Rev, 9, pp.55~62 (2013)
- Conti A, "Clinical management of atrial fibrillation: early interventions, observation, and structured follow-up reduce hospitalizations", Am J Emerg Med, 30, pp.1962~1969 (2012)[DOI]
- Carter L, "An integrated management approach to atrial fibrillation", J Am Heart Assoc, 5, pp.e002950~ (2016)[DOI]
- Bodenheimer T, "Improving primary care for patients with chronic illness", JAMA, 288, pp.1775~1779 (2002)[DOI]
- Hibbard JH, "What the evidence shows about patient activation: better health outcomes and care experiences; fewer data on costs", Health Aff (Millwood), 32, pp.207~214 (2013)[DOI]
- Aliot E, "An international survey of physician and patient understanding, perception, and attitudes to atrial fibrillation and its contribution to cardiovascular disease morbidity and mortality", Europace, 12, pp.626~633 (2010)[DOI]
- Lip GY, "Ethnic differences in patient perceptions of atrial fibrillation and anticoagulation therapy: the West Birmingham Atrial Fibrillation Project", Stroke, 33, pp.238~242 (2002)[DOI]
- Lorig KR, "Self-management education: history, definition, outcomes, and mechanisms", Ann Behav Med, 26, pp.1~7 (2003)
- Alonso-Coello P, "Values and preferences in oral anticoagulation in patients with atrial fibrillation, physicians' and patients' perspectives: protocol for a two-phase study", BMC Health Serv Res, 8, pp.221~ (2008)[DOI]
- Peterson ED, "ACC", AHA, AAFP, pp.ANA concepts for clinician-patient shared accountability in performance measures: a report of the American College of Cardiology, American Heart Association task force on performance measures[DOI]
- Stewart S, "Standard versus atrial fibrillation-specific management strategy (SAFETY) to reduce recurrent admission and prolong survival: pragmatic, multicentre, randomised controlled trial", Lancet, 385, pp.775~784 (2015)[DOI]
- Seaburg L, "Shared decision making in atrial fibrillation: where we are and where we should be going", Circulation, 129, pp.704~710 (2014)[DOI]
- Stiggelbout AM, "Shared decision making: really putting patients at the centre of healthcare", BMJ, 344, pp.e256~ (2012)[DOI]
- Elwyn G, "Shared decision making: a model for clinical practice", J Gen Intern Med, 27, pp.1361~1367 (2012)[DOI]
- Hendriks JM, "An integrated chronic care program for patients with atrial fibrillation: study protocol and methodology for an ongoing prospective randomised controlled trial", Int J Nurs Stud, 47, pp.1310~1316 (2010)[DOI]
- Lip GYH, "The ABC pathway: an integrated approach to improve AF management", Nat Rev Cardiol, 14, pp.627~628 (2017)[DOI]
- Lee SS, "Clinical implication of an impaired fasting glucose and prehypertension related to new onset atrial fibrillation in a healthy Asian population without underlying disease: a nationwide cohort study in Korea", Eur Heart J, 38, pp.2599~2607 (2017)[DOI]
- Baek YS, "Associations of abdominal obesity and new-onset atrial fibrillation in the general population", J Am Heart Assoc, 6, pp.e004705~ (2017)[DOI]
- Benjamin EJ, "Independent risk factors for atrial fibrillation in a population-based cohort. The framingham heart study", JAMA, 271, pp.840~844 (1994)[DOI]
- Wang TJ, "Obesity and the risk of new-onset atrial fibrillation", JAMA, 292, pp.2471~2477 (2004)[DOI]
- Gami AS, "Obstructive sleep apnea, obesity, and the risk of incident atrial fibrillation", J Am Coll Cardiol, 49, pp.565~571 (2007)[DOI]
- Heeringa J, "Cigarette smoking and risk of atrial fibrillation: the rotterdam study", Am Heart J, 156, pp.1163~1169 (2008)[DOI]
- Conen D, "Alcohol consumption and risk of incident atrial fibrillation in women", JAMA, 300, pp.2489~2496 (2008)[DOI]
- Roh SY, "Catheter ablation of atrial fibrillation in patients with chronic lung disease", Circ Arrhythm Electrophysiol, 4, pp.815~822 (2011)[DOI]
- Kong KA, "Associations between body mass index and mortality or cardiovascular events in a general Korean population", PLoS One, 12, pp.e0185024~ (2017)[DOI]
- Manning WJ, "Accuracy of transesophageal echocardiography for identifying left atrial thrombi. A prospective, intraoperative study", Ann Intern Med, 123, pp.817~822 (1995)[DOI]
- Hwang JJ, "Diagnostic accuracy of transesophageal echocardiography for detecting left atrial thrombi in patients with rheumatic heart disease having undergone mitral valve operations", Am J Cardiol, 72, pp.677~681 (1993)[DOI]
- Lip G, "Stroke prevention in atrial fibrillation: past, present and future. Comparing the guidelines and practical decision-making", Thromb Haemost, 117, pp.1230~1239 (2017)[DOI]
- Kim TH, "Left ventricular diastolic dysfunction is associated with atrial remodeling and risk or presence of stroke in patients with paroxysmal atrial fibrillation", J Cardiol, 68, pp.104~109 (2016)[DOI]
- Yu HT, "Outcomes of rate-control treatment in patients with atrial fibrillation and heart failure - a nationwide cohort study", Circ J, 82, pp.652~658 (2018)[DOI]
- Kirchhof P, "Personalized management of atrial fibrillation: proceedings from the fourth atrial fibrillation competence network", European heart rhythm association consensus conference, 2013, pp.15, 1540~1556