Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2024 Dec 23;13(24):7846.
doi: 10.3390/jcm13247846.

Advances in Atrial Fibrillation Management: A Guide for General Internists

Hoang Nhat Pham  1 , Ramzi Ibrahim  2 , Hong Hieu Truong  3 , Enkhtsogt Sainbayar  1 , Viet Nghi Tran  4 , Mahmoud Abdelnabi  2 , Christopher Kanaan  2 , Aadhavi Sridharan  1   5
Affiliations
Review

Advances in Atrial Fibrillation Management: A Guide for General Internists

Hoang Nhat Pham et al. J Clin Med. .

Abstract

Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia, impacting approximately 6.1 million adults in the United States, with projections to increase two-fold by 2030. AF significantly increases the risk of stroke and other adverse cardiovascular events, leading to increased morbidity and mortality. The 2023 ACC/AHA/ACCP/HRS guidelines present a paradigm shift in AF management, moving from a duration-based classification to a more comprehensive, patient-centered approach. This includes a novel AF classification system that emphasizes early detection and intervention, including risk factors and lifestyle modification tailored to each patient's risk profile. Moreover, the recommendations advocate for a multidisciplinary care model, ensuring coordinated management involving primary care providers and specialists. Primary care providers play a crucial role in initiating risk factor management and lifestyle interventions, even before the development of AF. This review aims to thoroughly examine the guidelines for the diagnosis and management of AF and equip general internists with the necessary insights to navigate the evolving landscape of AF care effectively.

Keywords: atrial fibrillation; guidelines; lifestyle modification; management; risk factor modification.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Comparison of catheter ablation modalities for atrial fibrillation.
See this image and copyright information in PMC

References

    1. Tsao C.W., Aday A.W., Almarzooq Z.I., Anderson C.A.M., Arora P., Avery C.L., Baker-Smith C.M., Beaton A.Z., Boehme A.K., Buxton A.E., et al. Heart Disease and Stroke Statistics-2023 Update: A Report From the American Heart Association. Circulation. 2023;147:e93–e621. - PubMed
    1. Colilla S., Crow A., Petkun W., Singer D.E., Simon T., Liu X. Estimates of current and future incidence and prevalence of atrial fibrillation in the U.S. adult population. Am. J. Cardiol. 2013;112:1142–1147. doi: 10.1016/j.amjcard.2013.05.063. - DOI - PubMed
    1. Salih M., Abdel-Hafez O., Ibrahim R., Nair R. Atrial fibrillation in the elderly population: Challenges and management considerations. J. Arrhythm. 2021;37:912–921. doi: 10.1002/joa3.12580. - DOI - PMC - PubMed
    1. Joglar J.A., Chung M.K., Armbruster A.L., Benjamin E.J., Chyou J.Y., Cronin E.M., Deswal A., Eckhardt L.L., Goldberger Z.D., Gopinathannair R., et al. 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2024;149:e1–e156. doi: 10.1161/CIR.0000000000001193. - DOI - PMC - PubMed
    1. Deshmukh A., Iglesias M., Khanna R., Beaulieu T. Healthcare utilization and costs associated with a diagnosis of incident atrial fibrillation. Heart Rhythm. O2. 2022;3:577–586. doi: 10.1016/j.hroo.2022.07.010. - DOI - PMC - PubMed

LinkOut - more resources