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. 2023 Oct;35(5):359-377.
doi: 10.55633/s3me/E027.2023.

Emergency department management of atrial fibrillation: 2023 consensus from the Spanish Society of Emergency Medicine (SEMES), the Spanish Society of Cardiology (SEC), and the Spanish Society of Thrombosis and Hemostasis (SETH)

[Article in English, Spanish]
Alfonso Martín  1 , David Calvo  2 , Pilar Llamas  3 , Vanessa Roldán  4 , Rocío Cózar  5 , Amparo Fernández de Simón  6 , Pablo Ávila  7 , Carmen Del Arco  8 , Elena Arbelo  9 , Pascual Piñera  10 , Blanca Coll-Vinent  11
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Free article

Emergency department management of atrial fibrillation: 2023 consensus from the Spanish Society of Emergency Medicine (SEMES), the Spanish Society of Cardiology (SEC), and the Spanish Society of Thrombosis and Hemostasis (SETH)

[Article in English, Spanish]
Alfonso Martín et al. Emergencias. 2023 Oct.
Free article

Erratum in

  • ERRATUM.
    Emergencias Staff. Emergencias Staff. Emergencias. 2023 Dec;35(6):479-480. Emergencias. 2023. PMID: 38116980 English, Spanish.
  • ERRATUM.
    Emergencias Staff. Emergencias Staff. Emergencias. 2024 Jan;36(1):80. doi: 10.55633/s3me/005.2024. Emergencias. 2024. PMID: 38318748 English, Spanish.

Abstract
in English, Spanish

Atrial fibrillation (AF) is the most prevalent sustained arrhythmia managed in emergency departments, and the already high prevalence of this arrhythmia is increasing in Spain. This serious condition associated with increased mortality and morbidity has a negative impact on patient quality of life and the functioning of the health care system. The management of AF requires consideration of diverse clinical variables and a large number of possible therapeutic approaches, justifying action plans to coordinate the work of several medical specialties in the interest of providing appropriate care and optimizing resources. This consensus statement brings together recommendations for emergency department management of AF based on available evidence adapted to special circumstances. The statement was drafted by a multidisciplinary team of specialists from the Spanish Society of Emergency Medicine (SEMES), the Spanish Society of Cardiology (SEC), and the Spanish Society of Thrombosis and Hemostasis (SETH). Strategies for stroke prophylaxis, measures to bring heart rate and heart rhythm under control, and related diagnostic and logistic issues are discussed in detail.

La fibrilación auricular (FA) es la arritmia sostenida de mayor prevalencia en los servicios de urgencias (SU), y en España presenta una frecuentación elevada y creciente. Esta arritmia es una enfermedad grave, que incrementa la mortalidad y asocia una relevante morbilidad e impacto en la calidad de vida de los pacientes y en el funcionamiento de los servicios sanitarios. La diversidad de aspectos clínicos a considerar y el elevado número de opciones terapéuticas posibles justifican la implementación de estrategias de actuación coordinadas entre los diversos profesionales implicados, con el fin de incrementar la adecuación del tratamiento y optimizar el uso de recursos. Este documento, realizado por un grupo multidisciplinario de expertos en arritmias cardiacas miembros de la Sociedad Española de Medicina de Urgencias y Emergencias, la Sociedad Española de Cardiología y la Sociedad Española de Trombosis y Hemostasia, recoge las recomendaciones para el manejo de la FA en los SU hospitalarios, basadas en la evidencia disponible y adaptadas a las especiales circunstancias de los mismos. En él se analizan con detalle las estrategias de profilaxis tromboembólica, control de frecuencia y control del ritmo, y los aspectos logísticos y diagnósticos relacionados.

Keywords: Antiarrhythmia agents.; Anticoagulants.; Atrial fibrillation.; Cardioversión.; Control de frecuencia.; Control del ritmo.; Electric countershock.; Emergency health services.; Fibrilación auricular.; Fármacos antiarrítmicos.; Heart rate control.; Heart rhythm control.; Servicios de Urgencias.; Thromboembolism.; Tromboembolia, anticoagulación..

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