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KMID : 0882420180930040336
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Korean Journal of Medicine
2018 Volume.93 No. 4 p.336 ~ p.343
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The 2018 Korean Heart Rhythm Society Guidelines for Integrated Management of Korean patients with Nonvalvular Atrial Fibrillation
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Park Jun-Beom
Joung Bo-Young
Kim Jun
Kim Jin-Bae
Park Hyung-Wook
Park Yae-Min
Uhm Jae-Sun
Ahn Jin-Hee
Lee Dae-In
Kim June-Soo
Lee Man-Young
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Abstract
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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.
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KEYWORD
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Atrial fibrillation, Integrative medicine, Practice guideline, Stroke
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