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Guidelines on the management of atrial fibrillation in the emergency department: a critical appraisal.
Costantino, Giorgio; Podda, Gian Marco; Falsetti, Lorenzo; Iannone, Primiano; Lages, Ana; Marra, Alberto M; Masala, Maristella; Reiakvam, Olaug Marie; Savva, Florentia; Schovanek, Jan; van Bree, Sjoerd; da Silva Chora, Inês João; Privitera, Graziella; Ragozzino, Silvio; von Rotz, Matthias; Woittiez, Lycke; Davidson, Christopher; Montano, Nicola.
Afiliação
  • Costantino G; Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Dipartimento di Medicina Interna, Allergologia Immunologia Clinica, Università degli Studi di Milano, Via F. Sforza 34, Milan, Italy. giorgic2@gmail.com.
  • Podda GM; Unità di Medicina 3, Dipartimento di medicina Interna, ASST Santi Paolo e Carlo, Milan, Italy.
  • Falsetti L; Medicina Interna Generale e Semintensiva, Azienda Ospedaliero-Universitaria "Ospedali Riuniti", Ancona, Italy.
  • Iannone P; Dipartimento di Emergenza, Ospedale del Tigullio, ASL4 Chiavarese, Lavagna, Genoa, Italy.
  • Lages A; The 22nd European Summer School of Internal Medicine, Muravera, Cagliari, Italy.
  • Marra AM; IRCCS S.D.N., Naples, Italy.
  • Masala M; Azienda Ospedaliera Universitaria AOU Sassari Medicina Interna, Sassari, Italy.
  • Reiakvam OM; The 22nd European Summer School of Internal Medicine, Muravera, Cagliari, Italy.
  • Savva F; The 22nd European Summer School of Internal Medicine, Muravera, Cagliari, Italy.
  • Schovanek J; The 22nd European Summer School of Internal Medicine, Muravera, Cagliari, Italy.
  • van Bree S; The 22nd European Summer School of Internal Medicine, Muravera, Cagliari, Italy.
  • da Silva Chora IJ; The 22nd European Summer School of Internal Medicine, Muravera, Cagliari, Italy.
  • Privitera G; The 22nd European Summer School of Internal Medicine, Muravera, Cagliari, Italy.
  • Ragozzino S; The 22nd European Summer School of Internal Medicine, Muravera, Cagliari, Italy.
  • von Rotz M; The 22nd European Summer School of Internal Medicine, Muravera, Cagliari, Italy.
  • Woittiez L; The 22nd European Summer School of Internal Medicine, Muravera, Cagliari, Italy.
  • Davidson C; European School of Internal Medicine, Muravera, Cagliari, Italy.
  • Montano N; Fondazione IRCCS Ca' Granda, Ospedale Maggiore Policlinico, Dipartimento di Medicina Interna, Allergologia Immunologia Clinica, Università degli Studi di Milano, Via F. Sforza 34, Milan, Italy.
Intern Emerg Med ; 12(5): 693-703, 2017 Aug.
Article em En | MEDLINE | ID: mdl-27905006
Several guidelines often exist on the same topic, sometimes offering divergent recommendations. For the clinician, it can be difficult to understand the reasons for this divergence and how to select the right recommendations. The aim of this study is to compare different guidelines on the management of atrial fibrillation (AF), and provide practical and affordable advice on its management in the acute setting. A PubMed search was performed in May 2014 to identify the three most recent and cited published guidelines on AF. During the 1-week school of the European School of Internal Medicine, the attending residents were divided in five working groups. The three selected guidelines were compared with five specific questions. The guidelines identified were: the European Society of Cardiology guidelines on AF, the Canadian guidelines on emergency department management of AF, and the American Heart Association guidelines on AF. Twenty-one relevant sub-questions were identified. For five of these, there was no agreement between guidelines; for three, there was partial agreement; for three data were not available (issue not covered by one of the guidelines), while for ten, there was complete agreement. Evidence on the management of AF in the acute setting is largely based on expert opinion rather than clinical trials. While there is broad agreement on the management of the haemodynamically unstable patient and the use of drugs for rate-control strategy, there is less agreement on drug therapy for rhythm control and no agreement on several other topics.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fibrilação Atrial / Guias como Assunto / Gerenciamento Clínico Tipo de estudo: Guideline / Prognostic_studies Limite: Humans Idioma: En Revista: Intern Emerg Med Assunto da revista: MEDICINA DE EMERGENCIA / MEDICINA INTERNA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Itália

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fibrilação Atrial / Guias como Assunto / Gerenciamento Clínico Tipo de estudo: Guideline / Prognostic_studies Limite: Humans Idioma: En Revista: Intern Emerg Med Assunto da revista: MEDICINA DE EMERGENCIA / MEDICINA INTERNA Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Itália