{"id":1122,"date":"2020-04-12T08:32:55","date_gmt":"2020-04-12T08:32:55","guid":{"rendered":"https:\/\/papersspot.com\/blog\/?p=1122"},"modified":"2020-04-12T08:33:03","modified_gmt":"2020-04-12T08:33:03","slug":"clinical-guidelines-revision-2","status":"publish","type":"post","link":"https:\/\/papersspot.com\/blog\/2020\/04\/12\/clinical-guidelines-revision-2\/","title":{"rendered":"Clinical Guidelines Revision"},"content":{"rendered":"\n<p>Atrial\nFibrillation is a cardiac rhythm disturbance which increases as age progresses.\nMoreover, it involves other chronic conditions and heart diseases. The\nmechanisms which cause AF can be difficult and complicated for clinicians to\nmanage. Therefore, the ACC and AHA Task Force on 2014 practice guidelines establish\nrevised guidelines on maximum management of AF. Thus, the new guidelines\nintroduce new and existing knowledge, which extracts from basic science, new\ndrugs, clinical trials, comprehensive articles as well as treatment strategies\nin managing Atrial Fibrillation. (January et al., 2014)<\/p>\n\n\n\n<p>Furthermore,\nsymptoms of AF change from less to severe. The typical sign is fatigue as well\nas loss of atrial contraction, which decreases cardiac output. It also leads to\nfrequent hospitalization, mortality, hemodynamic abnormalities, and morbidity,\nwhich results in higher chances of stroke as age advances. Therefore, to ensure\nbetter efficiency, AF tools on the web are available for measuring its\ndetection. They include; clinical decision aids and risk calculators which\ncould be useful in managing it. Also, AF can be caused by structural\nabnormalities, obesity, hypertension, Fibrosis, use of drugs and alcohol as\nwell as sleep apnea.<\/p>\n\n\n\n<p><strong>The rationale for the clinical practice\nguideline-revision<\/strong><\/p>\n\n\n\n<p>The\nclinical guidelines revision is essential in the advanced evaluation of an AF\npatient&#8217;s clinical history and physical examination. Besides, it determines the\ncause of AF, in assessing risks and defining related cardiac and extracardiac\ndiseases as well as early detection to prevent heart attack, strokes, and\ndeath. Moreover, family history of the patient and prior treatment aids in\nreviewing similar conditions and risks, which are recorded and addressed in\nclinical practice. Therefore, the ECG is the appropriate tool for confirming\nAtrial Fibrillation.<\/p>\n\n\n\n<p>Also,\nclinical guidelines revision, aid in advance laboratory evaluation, which\nincludes the assessment of serum electrolytes, blood count and hepatic\nfunction. Thus Echocardiography is used as a guide in timing cardioversion as\nwell as Electrophysiological study which is crucial in initiating AF.\nNevertheless, frequent and prolonged monitoring as per the clinical guidelines\nis necessary for revealing symptoms of asymptomatic AF. Consequently,\nAntithrombotic medications prevent stroke among patients by decreasing\nthrombotic clots. (January et al., 2014)<\/p>\n\n\n\n<p>Nevertheless,\nthe introduction of Warfarin, an antagonist drug, is effective in preventing\nstroke among Atrial Fibrillation patients.<\/p>\n\n\n\n<p>Furthermore,\nrate control is a vital strategy which reduces morbidity and impacts the\nquality of life; clinicians are supposed to consider the degree of symptoms in\na patient as well as hemodynamic status. They should discuss issues such as\nattainment of rate control and the required degree of rate control. The\nclinical guidelines should select and apply optimal heart rate targets and a\nrate control strategy to enhance individual patients\u2019 considerations in\npreventing AF and setting up early detection awareness on high-risk adults.<\/p>\n\n\n\n<p><strong>The statement on questions addressed<\/strong><\/p>\n\n\n\n<p>The\nprevious decade shows excellent progress in the understanding of AF mechanisms,\nsymptoms, medication as well as clinical guidelines on maintaining sinus rhythm\nand the introduction of new drugs for the prevention of stroke. Thus, long-term\nmanagement of AF supports and restores rhythm control. The questions addressed\nabout Atrial Fibrillation leads to advanced research on heart diseases and\nearly detection techniques in preventing stroke among AF patients (January et\nal., 2014). <\/p>\n\n\n\n<p>Consequently,\nfurther research and studies are needed to inform clinicians about risks of AF\nand benefits of initial treatment as well as therapy options to an individual\nhigh-adult patient. Also, continued studies are required in the mechanisms that\nsustain and initiate AF.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Atrial Fibrillation is a cardiac rhythm disturbance which increases as age progresses. Moreover, it involves other chronic conditions and heart diseases. The mechanisms which cause AF can be difficult and complicated for clinicians to manage. Therefore, the ACC and AHA Task Force on 2014 practice guidelines establish revised guidelines on maximum management of AF. Thus, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1122","post","type-post","status-publish","format-standard","hentry","category-research-paper-writing"],"_links":{"self":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/1122","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/comments?post=1122"}],"version-history":[{"count":1,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/1122\/revisions"}],"predecessor-version":[{"id":1123,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/1122\/revisions\/1123"}],"wp:attachment":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/media?parent=1122"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/categories?post=1122"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/tags?post=1122"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}