Guideline commentary on the ESC/EACTS 2024 guidelines for atrial fibrillation: a focus on managing AF in the older population.
Atrial fibrillation (AF) is associated with increased risks of stroke, heart failure and mortality. Rate and rhythm control are used to manage symptoms and improve quality of life, and restoration of normal sinus rhythm is also important for many, but not all, patients. AF is more prevalent in older...
| Publicado en: | Age & Ageing Vol. 55; no. 1; pp. 1 - 7 |
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| Autores principales: | , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jan2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=192513128&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 192513128 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jan2026 vid: 55 iid: 1 pid: 622 pub: Oxford University Press / USA artinfo: ui: 192513128 10.1093/ageing/afag002 ppf: 1 ppct: 6 formats: tig: atl: Guideline commentary on the ESC/EACTS 2024 guidelines for atrial fibrillation: a focus on managing AF in the older population. aug: au: Kaba, Riyaz A Rajkumar, Chakravarthi Mattace-Raso, Francesco affil: Cardiovascular and Genomics Research Institute, School of Health and Medical Sciences, City St George's, University of London, St George's Hospital Medical School, London, England, UKCardiovascular Clinical Academic Group, St George's Hospital Medical School, London, England, UKDepartment of Cardiology, Ashford and St Peter's Hospitals NHS Trust, Chertsey, England, UKBiological Sciences, Royal Holloway University of London, Egham, England, UK Department of Clinical and Experimental Medicine, Brighton and Sussex Medical School, Brighton, England, UKDepartment of Stroke Medicine, University Hospitals Sussex NHS Foundation Trust, Brighton, England, UK Geriatric Medicine, Erasmus Universiteit Rotterdam, Rotterdam, ZH, The Netherlands su: Europe Stroke Medical screening Disease risk factors Old age Atrial fibrillation diagnosis Hemorrhage risk factors Atrial fibrillation treatment Medical protocols Risk assessment Anticoagulants Cardiology Ablation techniques Thoracic surgery Frail elderly Disease management Polypharmacy Left atrial appendage closure Catheter ablation Cardiac surgery Comorbidity Hemorrhage sug: subj: Stroke Medical screening Disease risk factors Old age Europe All Other Miscellaneous Ambulatory Health Care Services Atrial fibrillation diagnosis Hemorrhage risk factors Atrial fibrillation treatment Medical protocols Risk assessment Anticoagulants Cardiology Ablation techniques Thoracic surgery Frail elderly Disease management Polypharmacy Left atrial appendage closure Catheter ablation Cardiac surgery Comorbidity Hemorrhage keyword: ablation aging anticoagulation atrial fibrillation copyrightHolder:British Geriatrics Society copyrightYear:2026 european society of cardiology frailty guidelines https://dx.doi.org/10.1093/ageing/afag002 inLanguage:en ischemic stroke left atrial appendage occlusion left auricular appendage management mortality older adult older people operative publisher:Oxford University Press rhythm risk of excessive or recurrent bleeding sameAs:https://pubmed.ncbi.nlm.nih.gov/41615279/ stroke risk surgical procedures ablation aging anticoagulation atrial fibrillation copyrightHolder:British Geriatrics Society copyrightYear:2026 european society of cardiology frailty guidelines https://dx.doi.org/10.1093/ageing/afag002 inLanguage:en ischemic stroke left atrial appendage occlusion left auricular appendage management mortality older adult older people operative publisher:Oxford University Press rhythm risk of excessive or recurrent bleeding sameAs:https://pubmed.ncbi.nlm.nih.gov/41615279/ stroke risk surgical procedures ab: Atrial fibrillation (AF) is associated with increased risks of stroke, heart failure and mortality. Rate and rhythm control are used to manage symptoms and improve quality of life, and restoration of normal sinus rhythm is also important for many, but not all, patients. AF is more prevalent in older adults, for whom AF management can be compounded by comorbidities and ongoing conditions, frailty, cognitive issues and polypharmacy. The European Society of Cardiology (ESC) in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS) recently updated recommendations for AF management, which may have implications for older adults in terms of overarching AF management approach, stroke and bleeding risk assessments and anticoagulation considerations. In addition, guideline recommendations and associated levels of evidence have changed for some interventions, such as left atrial appendage closure and AF ablation. In this guideline commentary, key aspects, changes and recommendations in the 2024 ESC guidelines are discussed in the context of older patients, as well as perspectives on specifically addressing the diverse ageing population in future clinical trials and practice guidelines. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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