Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation : the 8th AFNET/EHRA consensus conference
Schnabel, Renate B
Marinelli, Elena Andreassi
Arbelo, Elena (Hospital Clínic i Provincial de Barcelona)
Boriani, Giuseppe
Boveda, Serge
Buckley, Claire M
Camm, A John
Casadei, Barbara
Chua, Winnie
Dagres, Nikolaos
de Melis, Mirko
Desteghe, Lien
Diederichsen, Søren Zöga
Duncker, David
Eckardt, Lars
Eisert, Christoph
Engler, Daniel
Fabritz, Larissa
Freedman, Ben
Gillet, Ludovic
Goette, Andreas
Guasch, Eduard (Hospital Clínic i Provincial de Barcelona)
Svendsen, Jesper Hastrup
Hatem, Stéphane N
Haeusler, Karl Georg
Healey, Jeff S
Heidbuchel, Hein
Hindricks, Gerhard
Hobbs, F D Richard
Hübner, Thomas
Kotecha, Dipak
Krekler, Michael
Leclercq, Christophe
Lewalter, Thorsten
Lin, Honghuang
Linz, Dominik
Lip, Gregory Y H
Løchen, Maja Lisa
Lucassen, Wim
Malaczynska-Rajpold, Katarzyna
Massberg, Steffen
Merino, Jose L
Meyer, Ralf
Mont, Lluıs
Myers, Michael C
Neubeck, Lis
Niiranen, Teemu
Oeff, Michael
Oldgren, Jonas
Potpara, Tatjana S
Psaroudakis, George
Pürerfellner, Helmut
Ravens, Ursula
Rienstra, Michiel
Rivard, Lena
Scherr, Daniel
Schotten, Ulrich
Shah, Dipen
Sinner, Moritz F
Smolnik, Rüdiger
Steinbeck, Gerhard
Steven, Daniel
Svennberg, Emma
Thomas, Dierk
True Hills, Mellanie
van Gelder, Isabelle C
Vardar, Burcu
Palà, Elena
Wakili, Reza
Wegscheider, Karl (Hospital Universitari Vall d'Hebron)
Wieloch, Mattias
Willems, Stephan
Witt, Henning
Ziegler, André
Daniel Zink, Matthias
Kirchhof, Paulus
Universitat Autònoma de Barcelona

Data:	2022
Resum:	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Results of the interdisciplinary, hybrid discussions in breakout groups and the plenary based on recently published and unpublished observations are summarized in this consensus paper to support improved care for patients with AF by guiding prevention, individualized management, and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.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	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
Publicat a:	Europace, Vol. 25 (july 2022) , p. 6-27, ISSN 1532-2092

DOI: 10.1093/europace/euac062
PMID: 35894842

22 p, 521.1 KB

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