Electrophysiology in 2020-A review - Kölner UniversitätsPublikationsServer

van den Bruck, Jan-Hendrik, Steven, Daniel and Sommer, Philipp (2021). Electrophysiology in 2020-A review. Kardiologe, 15 (2). S. 115 - 121. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1864-9726

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DOI:10.1007/s12181-021-00453-0

Abstract

We look back on an eventful year 2020, which from an electrophysiological perspective stood out with three landmark studies and the new guidelines as an important year for the treatment of atrial fibrillation. The results of the EAST-AFNET4 trial demonstrated that early initiation of rhythm control is associated with a significant reduction in the rate of cardiovascular events (stroke, hospitalization with heart failure or acute coronary syndrome, death from cardiovascular causes) without requiring additional hospitalization. Hence, a prognostic benefit could be shown for the first time for rhythm control strategy. Furthermore, the EARLY-AF and STOP AF trials underlined the importance of catheter ablation as an effective means to maintain sinus rhythm. The new 2020 guidelines moreover emphasize the significance of individualized treatment concepts, substrate characterization and the role of catheter ablation in the treatment of atrial fibrillation. Finally, several new ablation techniques have become available for clinical use, which gives the prospect of another exciting year in electrophysiology.

Item Type:

Journal Article

Creators:

Creators	Email	ORCID	ORCID Put Code
van den Bruck, Jan-Hendrik	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Steven, Daniel	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED
Sommer, Philipp	UNSPECIFIED	UNSPECIFIED	UNSPECIFIED