Current Perspectives on the Management of Atrial Fibrillation
A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Cardiology".
Deadline for manuscript submissions: 30 May 2025 | Viewed by 1017
Special Issue Editors
Interests: atrial fibrillation; management; AF ablation; anticoagulation; left atrial appendage ligation/occlusion; same-day discharge
Interests: atrial fibrillation; management; AF ablation; anticoagulation; left atrial appendage ligation/occlusion; same-day discharge
Special Issue Information
Dear Colleagues,
Over the past four decades, we have gained more insights into several facets of atrial fibrillation (AF), from pathogenesis, clinical courses, and prognoses. In line with these, there has been a significant transitional change in AF treatment modalities and a revisit to the emphasis of rhythm control. To improve quality of life, the contemporary ultimate goal in AF treatment has been drawn to the mitigation of AF burden by means of medical and interventional approaches rather than heartrate control. Recently, catheter ablation has gained popularity; it is now among the most common procedures practiced in the electrophysiology field as an adjunct to medical therapies or a standalone approach. The application of a novel esophageal cooling system and a new energy source, pulse field ablation, significantly reduces risks such as AEF to a negligible percentage. With high-power short-duration techniques and advanced catheter designs, the effectiveness of ablation is greatly enhanced, leading to shorter procedure durations. This integrated approach establishes ablation as the preferred treatment option for a wider demographic and promotes earlier treatment interventions compared to conventional methods. In addition, anticoagulation management is one of the essential considerations in AF, either pharmacological or mechanical approaches, i.e., left atrial appendage ligation/occlusion. With the substantial growth in the understandings of AF, this is an open area for research fluxes and novelties to come in the future to improve pragmatical approaches and the management of AF in practice.
Dr. Narut Prasitlumkum
Guest Editor
Dr. Nithi Tokavanich
Guest Editor Assistant
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Keywords
- atrial fibrillation
- management
- AF ablation
- anticoagulation
- left atrial appendage ligation/occlusion
- same-day discharge
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