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Title:          Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation: the 8th AFNET/EHRA consensus conference
Subject:        DOI: 10.1093/europace/euac062; Europace, 25, 1, 2022-07-27.; Abstract: Despite marked progress in the management of atrial fibrillation (AF), detecting AF remains difficult and AF-related complications cause unacceptable morbidity and mortality even on optimal current therapy. This document summarizes the key outcomes of the 8th AFNET/EHRA Consensus Conference of the Atrial Fibrillation NETwork (AFNET) and the European Heart Rhythm Association (EHRA). Eighty-three international experts met in Hamburg for 2 days in October 2021. Results of the interdisciplinary, hybrid discussions in breakout groups and the plenary based on recently published and unpublished observations are summarized in this consensus paper to support improved care for patients with AF by guiding prevention, individualized management, and research strategies. The main outcomes are (i) new evidence supports a simple, scalable, and pragmatic population-based AF screening pathway; (ii) rhythm management is evolving from therapy aimed at improving symptoms to an integrated domain in the prevention of AF-related outcomes, especially in patients with recently diagnosed AF; (iii) improved characterization of atrial cardiomyopathy may help to identify patients in need for therapy; (iv) standardized assessment of cognitive function in patients with AF could lead to improvement in patient outcomes; and (v) artificial intelligence (AI) can support all of the above aims, but requires advanced interdisciplinary knowledge and collaboration as well as a better medico-legal framework. Implementation of new evidence-based approaches to AF screening and rhythm management can improve outcomes in patients with AF. Additional benefits are possible with further efforts to identify and target atrial cardiomyopathy and cognitive impairment, which can be facilitated by AI.
Keywords:       Atrial fibrillation; Artificial intelligence; Heart failure; Atrial cardiomyopathy; Cognitive function; Dementia; Outcomes; Quality of care; Cost; Research; Rhythm management; Catheter ablation; Anticoagulation; Bleeding; Research priorities; Technology; Stroke; Integrated care; Screening; AFNET; EHRA; Guidelines; Consensus statement
Author:         Renate B. Schnabel
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      Title: Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation: the 8th AFNET/EHRA consensus conference
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        Title: Introduction
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        Title: Methods
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        Title: Atrial fibrillation screening implementation
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          Title: Approaches to screening
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          Title: Evidence-based implementation of systematic screening for atrial fibrillation
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          Title: Consumer-led atrial fibrillation screening
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          Title: Knowledge gaps and hurdles
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        Title: The growing role of rhythm management
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          Title: The paradigm of rhythm management
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          Title: Attempt at restoration of sinus rhythm
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          Title: Lifelong rhythm management
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          Title: Potential of atrial fibrillation ablation therapy
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          Title: Practical implications to improve rhythm management
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          Title: Knowledge gaps and research opportunities
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        Title: Assessment and treatment of cognitive impairment in atrial fibrillation
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          Title: Practical and research implications for cognitive dysfunction in patients with atrial fibrillation
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          Title: Knowledge gaps and research opportunities
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        Title: Atrial (cardio)myopathies: definition, risk factors, and progression
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          Title: Defining the concept
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          Title: Atrial cardiomyopathy disease progression
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          Title: Atrial cardiomyopathy and atrial fibrillation
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          Title: Potential practical implications
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          Title: Knowledge gaps and research opportunities
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        Title: Structuring high-quality care
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          Title: Practical implications
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          Title: Knowledge gaps and research opportunities
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          Title: Knowledge gaps and research opportunities
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               <rdf:li>Renate B. Schnabel</rdf:li>
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               <rdf:li>Thomas Hübner</rdf:li>
               <rdf:li>Dipak Kotecha</rdf:li>
               <rdf:li>Michael Krekler</rdf:li>
               <rdf:li>Christophe Leclercq</rdf:li>
               <rdf:li>Thorsten Lewalter</rdf:li>
               <rdf:li>Honghuang Lin</rdf:li>
               <rdf:li>Dominik Linz</rdf:li>
               <rdf:li>Gregory Y.H. Lip</rdf:li>
               <rdf:li>Maja-Lisa Løchen</rdf:li>
               <rdf:li>Wim Lucassen</rdf:li>
               <rdf:li>Katarzyna Malaczynska-Rajpold</rdf:li>
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               <rdf:li>Elena Palà</rdf:li>
               <rdf:li>Reza Wakili</rdf:li>
               <rdf:li>Karl Wegscheider</rdf:li>
               <rdf:li>Mattias Wieloch</rdf:li>
               <rdf:li>Stephan Willems</rdf:li>
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               <rdf:li>André Ziegler</rdf:li>
               <rdf:li>Matthias Daniel Zink</rdf:li>
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               <rdf:li xml:lang="x-default">DOI: 10.1093/europace/euac062; Europace, 25, 1, 2022-07-27.; Abstract: Despite marked progress in the management of atrial fibrillation (AF), detecting AF remains difficult and AF-related complications cause unacceptable morbidity and mortality even on optimal current therapy. This document summarizes the key outcomes of the 8th AFNET/EHRA Consensus Conference of the Atrial Fibrillation NETwork (AFNET) and the European Heart Rhythm Association (EHRA). Eighty-three international experts met in Hamburg for 2 days in October 2021. Results of the interdisciplinary, hybrid discussions in breakout groups and the plenary based on recently published and unpublished observations are summarized in this consensus paper to support improved care for patients with AF by guiding prevention, individualized management, and research strategies. The main outcomes are (i) new evidence supports a simple, scalable, and pragmatic population-based AF screening pathway; (ii) rhythm management is evolving from therapy aimed at improving symptoms to an integrated domain in the prevention of AF-related outcomes, especially in patients with recently diagnosed AF; (iii) improved characterization of atrial cardiomyopathy may help to identify patients in need for therapy; (iv) standardized assessment of cognitive function in patients with AF could lead to improvement in patient outcomes; and (v) artificial intelligence (AI) can support all of the above aims, but requires advanced interdisciplinary knowledge and collaboration as well as a better medico-legal framework. Implementation of new evidence-based approaches to AF screening and rhythm management can improve outcomes in patients with AF. Additional benefits are possible with further efforts to identify and target atrial cardiomyopathy and cognitive impairment, which can be facilitated by AI.</rdf:li>
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               <rdf:li>Artificial intelligence</rdf:li>
               <rdf:li>Heart failure</rdf:li>
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               <rdf:li>Cognitive function</rdf:li>
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               <rdf:li>Outcomes</rdf:li>
               <rdf:li>Quality of care</rdf:li>
               <rdf:li>Cost</rdf:li>
               <rdf:li>Research</rdf:li>
               <rdf:li>Rhythm management</rdf:li>
               <rdf:li>Catheter ablation</rdf:li>
               <rdf:li>Anticoagulation</rdf:li>
               <rdf:li>Bleeding</rdf:li>
               <rdf:li>Research priorities</rdf:li>
               <rdf:li>Technology</rdf:li>
               <rdf:li>Stroke</rdf:li>
               <rdf:li>Integrated care</rdf:li>
               <rdf:li>Screening</rdf:li>
               <rdf:li>AFNET</rdf:li>
               <rdf:li>EHRA</rdf:li>
               <rdf:li>Guidelines</rdf:li>
               <rdf:li>Consensus statement</rdf:li>
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         <prism:publicationName>Europace</prism:publicationName>
         <prism:copyright>© The Author(s) 2022. Published by Oxford University Press on behalf of European Society of Cardiology.</prism:copyright>
         <prism:issn>1099-5129</prism:issn>
         <prism:elssn>1532-2092</prism:elssn>
         <prism:volume>25</prism:volume>
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         <prism:endingPage>27</prism:endingPage>
         <prism:doi>10.1093/europace/euac062</prism:doi>
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