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2023 ACC/AHA/ACCP/HRS Guidelines for Atrial Fibrillation

Guidelines for the management of atrial fibrillation, including anticoagulation and cardioversion, as per the 2023 update from the American College of Cardiology, American Heart Association, American College of Chest Physicians, and Heart Rhythm Society.

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Jan 26, 2026

What are the current guideline recommendations for anticoagulation in new‑onset atrial fibrillation with RVR?

Current major guidelines prioritize stroke‑risk guided in new‑onset with rapid ventricular response (RVR): clinicians should assess thromboembolic risk (typically CHA2DS2‑VASc), favor direct oral anti...