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- Publisher
- American Medical Association
- Copyright
- Copyright 2016 American Medical Association. All Rights Reserved.
- ISSN
- 2380-6583
- eISSN
- 2380-6591
- DOI
- 10.1001/jamacardio.2016.4936
- Publisher site
- See Article on Publisher Site
Abstract
Key PointsQuestionHow have the American Heart Association/American College of Cardiology/Heart Rhythm Society clinical practice guidelines on atrial fibrillation changed over time with respect to the distribution of recommendations across classes of recommendations and levels of evidence? FindingsThis review of guideline recommendations found that despite a significant increase in atrial fibrillation research from 2001 to 2014, there was a nonsignificant increase in the use of level B evidence, an insignificant decrease in the use of level C evidence, and the use of level A evidence did not appreciably change. The 2014 guideline was largely supported by level C evidence with few level A recommendations (8.8%); no rate control recommendations were supported by level A evidence. MeaningSignificant opportunities exist to improve the evidence base on the management of atrial fibrillation, specifically within rate control.
Journal
JAMA Cardiology – American Medical Association
Published: Mar 14, 2017