Summary

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)

Alfonso Martín1,2, David Calvo3,4, Pilar Llamas5,6, Vanessa Roldán5,7, Rocío Cózar3,8, Amparo Fernández de Simón1,9, Pablo Ávila3,10, Carmen del Arco1,11, Elena Arbelo2,12, Pascual Piñera1,13, Blanca Coll-Vinent1,14

Affiliation of the authors

1Grupo de Arritmias Cardiacas y Síncope, Sociedad Española de Medicina de Urgencias y Emergencias. 2Servicio de Urgencias, Hospital Universitario de Móstoles, Madrid, Spain. 3Asociación del Ritmo Cardiaco, Sociedad Española de Cardiología. 4Servicio de Cardiología, Instituto Cardiovascular, Hospital Clínico San Carlos, Madrid, Spain. 5Sociedad Española de Trombosis y Hemostasia. 6Servicio de Hematología, Fundación Jiménez Díaz, Madrid, Spain. 7Servicio de Hematología, Hospital Universitario Morales Messeguer, Murcia, Spain. 8Servicio de Cardiología, Hospital Universitario Virgen Macarena, Sevilla, Spain. 9Servicio de Urgencias, Hospital Universitario Virgen del Rocío, Sevilla, Spain. 10Servicio de Cardiología, Hospital Universitario Gregorio Marañón, Madrid, Spain. 11Servicio de Urgencias, Hospital Universitario de la Princesa, Madrid, Spain. 12Sección de Arritmias, Servicio de Cardiología. IDIBAPS, Hospital Clínic, Barcelona. CIBERCV. ERN GUARD-Heart, Spain. 13Servicio de Urgencias, Hospital Universitario Reina Sofía, Murcia, Spain. 14Área de Urgencias. Grup de Recerca “Urgències: processos i patologies”. IDIBAPS. Unitat de Fibrillació Auricular (UFA). Hospital Clínic, Barcelona, Spain.

DOI

Quote

Martín A, Calvo D, Llamas P, Roldán V, Cózar R, Fernández de Simón A, et al. 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). Emergencias. 2023;35:359-77

Summary

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.

 

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