2019 Focused Update of the 2014 Guideline for Management of Patients with Atrial Fibrillation-2019 AF Guideline Update

Video Transcription

Video Summary

Dr. Hugh Calkins provides an overview of the 2019 updates to the 2014 ACC, AHA, HRS, AFib guidelines. The updates include important modifications to patient management and focus on six main topics: anticoagulation recommendations, appendage occlusion for stroke prevention, catheter ablation recommendations, management of AFib-complicating acute coronary syndrome, device-detected AFib, and the importance of weight loss in AFib management. Key changes include the redefinition of valvular AFib, the removal of aspirin from the anticoagulation guidelines, the recommendation for NOACs over Warfarin, and the inclusion of the Watchman device as a potential treatment option. Additionally, the guidelines now recommend the use of implantable monitors for detection of silent AFib in patients with cryptogenic stroke. Dr. Calkins emphasizes the importance of understanding and implementing these updated guidelines for optimal patient care.

Asset Caption

Hugh Calkins, MD, Johns Hopkins Medicine

Keywords

2019 updates

anticoagulation recommendations

catheter ablation

Watchman device

implantable monitors