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Eurasian clinical guidelines for the diagnosis and treatment of atrial fibrillation in adult patients (2025)

https://doi.org/10.38109/2225-1685-2025-3-6-77

Abstract

In this document we provide comprehensive review of contemporary approaches to diagnostic work-up and management of atrial fibrillation (AF) in adults. These guidelines are based on systematic methods to evaluate and classify evidence and provide a foundation for the delivery of quality cardiovascular care. Previous version of Eurasian clinical practice guidelines published in 2019 required revision due to a number of randomized clinical trials in major medical and surgical approaches to AF published in 2019-2024. Updated version of Eurasian Clinical practice guidelines based on methodology of European society of cardiology guidelines (2024) and American heart association/ American College of cardiology guidelines (2023). Revision included not only new scientific data but also took into consideration regional differences in healthcare systems, medical services and drugs availability and epidemiology of AF in Eurasian region.

About the Authors

Ыю Golitsyn
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Sergey P. Golitsyn, Dr. of Sci. (Med.), Professor, Head of the Department of Clinical Electrophysiology 

Moscow 



E. P. Panchenko
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Elizaveta P. Panchenko, Dr. of Sci. (Med.),Professor, Head of the Department of Clinical Problems of Atherothrombosis 



N. Yu. Mironov
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Nikolay Yu. Mironov, Dr. of Sci. (Med.), Senior Researcher, Department of Clinical Electrophysiology 



M. M. Belyaeva
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Maria M. Belyaeva, Cand. of Sci. (Med.), researcher, Department of Clinical Electrophysiology 



D. A. Gagloeva
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Diana A. Gagloeva, Cand. of Sci. (Med.), cardiologist, office for the organization of high-tech medical care and compulsory medical insurance 



E. M. Elfimova
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Evgenia M. Elfimova, Cand. of Sci. (Med.), Senior Researcher, Sleep Apnea Laboratory, Hypertension Department 



E. S. Kropacheva
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Ekaterina S. Kropacheva, Cand. of Sci. (Med.), Senior Researcher, Department of Clinical Problems of Atherothrombosis 



L. Yu. Lajovic
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Lada Yu. Lajovic, Cand. of Sci. (Med.), Senior Researcher, Department of Clinical Electrophysiology 



A. Yu. Litvin
E.I. Chazov National Medical Research Center of Cardiology, Ministry of Health of the Russian Federation; N.I. Pirogov Russian National Research Medical University
Russian Federation

Alexander Yu. Litvin, Dr. of Sci. (Med.), Head of the Sleep Apnea Laboratory, Hypertension Department, A.L. Myasnikov Institute of Clinical Cardiology;  Professor of the Department of Outpatient Therapy, Faculty of Medicine
 



E. B. Maikov
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Evgeny B. Maikov, Dr. of Sci. (Med.), Leading Researcher, Department of Clinical Electrophysiology 



M. D. Utsumueva
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Madina D. Utsumueva, Cand. of Sci. (Med.), cardiologist, department of complex cardiac arrhythmias and cardiac pacing 



O. O. Shakhmatova
A.L. Myasnikov Institute of Clinical Cardiology, E.I. Chazov National Medical Research Center of Cardiology
Russian Federation

Olga O. Shakhmatova, Cand. of Sci. (Med.), research fellow, Department of Clinical Problems of Atherothrombosis 



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Golitsyn Ы., Panchenko E.P., Mironov N.Yu., Belyaeva M.M., Gagloeva D.A., Elfimova E.M., Kropacheva E.S., Lajovic L.Yu., Litvin A.Yu., Maikov E.B., Utsumueva M.D., Shakhmatova O.O. Eurasian clinical guidelines for the diagnosis and treatment of atrial fibrillation in adult patients (2025). Eurasian heart journal. 2025;(3):6-77. (In Russ.) https://doi.org/10.38109/2225-1685-2025-3-6-77

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