2021 Focused update of the 2017 consensus guidelines of the Asia Pacific Heart Rhythm Society (APHRS) on stroke prevention in atrial fibrillation

Tze Fan Chao, Boyoung Joung, Yoshihide Takahashi, Toon Wei Lim, Eue Keun Choi, Yi Hsin Chan, Yutao Guo, Charn Sriratanasathavorn, Seil Oh, Ken Okumura, Gregory Y.H. Lip

Research output: Contribution to journalArticlepeer-review

11 Citations (Scopus)

Abstract

The consensus of the Asia Pacific Heart Rhythm Society (APHRS) on stroke prevention in atrial fibrillation (AF) has been published in 2017 which provided useful clinical guidance for cardiologists, neurologists, geriatricians, and general practitioners in Asia-Pacific region. In these years, many important new data regarding stroke prevention in AF were reported. The Practice Guidelines subcommittee members comprehensively reviewed updated information on stroke prevention in AF, and summarized them in this 2021 focused update of the 2017 consensus guidelines of the APHRS on stroke prevention in AF. We highlighted and focused on several issues, including the importance of AF Better Care (ABC) pathway, the advantages of non–vitamin K antagonist oral anticoagulants (NOACs) for Asians, the considerations of use of NOACs for Asian patients with AF with single 1 stroke risk factor beyond gender, the role of lifestyle factors on stroke risk, the use of oral anticoagulants during the “coronavirus disease 2019” (COVID-19) pandemic, etc. We fully realize that there are gaps, unaddressed questions, and many areas of uncertainty and debate in the current knowledge of AF, and the physician's decision remains the most important factor in the management of AF.

Original languageEnglish
Pages (from-to)1389-1426
Number of pages38
Journaljournal of arrhythmia
Volume37
Issue number6
DOIs
Publication statusPublished - 2021 Dec

Bibliographical note

Funding Information:
Tze‐Fan Chao: None. Boyoung Joung: Boyoung Joung has served as a speaker for Bayer, BMS/Pfizer, Medtronic, and Daiichi‐Sankyo and received research funds from Samjin, Medtronic and Abbott. No fees have been received directly or personally. Yoshihide Takahashi: Research grants from Medtronic Japan, Boston Scientific, Japan Lifeline, WIN International, Abbott and Biosense‐Webster, and speaker honoraria from Abbott and Biosense‐Webster. Toon‐Wei Lim: None. Eue‐Keun Choi: None. Yi‐Hsin Chan: None. Yutao Guo: None. Charn Sriratanasathavorn: None. Seil Oh: None. Ken Okumura: None. Gregory Lip: Consultant and speaker for BMS/Pfizer, Boehringer Ingelheim and Daiichi‐Sankyo. No fees are received personally.

Publisher Copyright:
© 2021 The Authors. Journal of Arrhythmia published by John Wiley & Sons Australia, Ltd on behalf of Japanese Heart Rhythm Society

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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