Schnabel, Renate B., Marinelli, Elena Andreassi, Arbelo, Elena, Boriani, Giuseppe ORCID: 0000-0002-9820-4815, Boveda, Serge, Buckley, Claire M., Camm, A. John, Casadei, Barbara ORCID: 0000-0002-6801-1617, Chua, Winnie, Dagres, Nikolaos, de Melis, Mirko, Desteghe, Lien, Diederichsen, Soren Zoga, Duncker, David, Eckardt, Lars, Eisert, Christoph, Engler, Daniel, Fabritz, Larissa, Freedman, Ben, Gillet, Ludovic ORCID: 0000-0002-4990-6212, Goette, Andreas, Guasch, Eduard, Svendsen, Jesper Hastrup, Hatem, Stephane N., Haeusler, Karl Georg, Healey, Jeff S., Heidbuchel, Hein, Hindricks, Gerhard, Hobbs, F. D. Richard, Huebner, Thomas, Kotecha, Dipak ORCID: 0000-0002-2570-9812, Krekler, Michael, Leclercq, Christophe, Lewalter, Thorsten, Lin, Honghuang, Linz, Dominik, Lip, Gregory Y. H., Lochen, Maja Lisa, Lucassen, Wim, Malaczynska-Rajpold, Katarzyna, Massberg, Steffen, Merino, Jose L., Meyer, Ralf, Mont, Lluis, Myers, Michael C., Neubeck, Lis, Niiranen, Teemu, Oeff, Michael, Oldgren, Jonas, Potpara, Tatjana S., Psaroudakis, George ORCID: 0000-0002-6458-4784, Purerfellner, Helmut, Ravens, Ursula, Rienstra, Michiel ORCID: 0000-0002-2581-070X, Rivard, Lena, Scherr, Daniel, Schotten, Ulrich, Shah, Dipen, Sinner, Moritz F., Smolnik, Rudiger, Steinbeck, Gerhard, Steven, Daniel, Svennberg, Emma, Thomas, Dierk, Hills, Mellanie True, van Gelder, Isabelle C., Vardar, Burcu, Pala, Elena ORCID: 0000-0002-1074-990X, Wakili, Reza, Wegscheider, Karl, Wieloch, Mattias, Willems, Stephan, Witt, Henning, Ziegler, Andre, Zink, Matthias Daniel and Kirchhof, Paulus . Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation: the 8th AFNET/EHRA consensus conference. Europace. OXFORD: OXFORD UNIV PRESS. ISSN 1532-2092

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Abstract

Aims 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. Methods and results 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Results of the interdisciplinary, hybrid discussions in breakout groups and the plenary based on recently published and unpublished observations are summarized in this consensus paper to support improved care for patients with AF by guiding prevention, individualized management, and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. Conclusions 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.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Schnabel, Renate B.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Marinelli, Elena AndreassiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Arbelo, ElenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Boriani, GiuseppeUNSPECIFIEDorcid.org/0000-0002-9820-4815UNSPECIFIED
Boveda, SergeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Buckley, Claire M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Camm, A. JohnUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Casadei, BarbaraUNSPECIFIEDorcid.org/0000-0002-6801-1617UNSPECIFIED
Chua, WinnieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Dagres, NikolaosUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
de Melis, MirkoUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Desteghe, LienUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Diederichsen, Soren ZogaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Duncker, DavidUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eckardt, LarsUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Eisert, ChristophUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Engler, DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fabritz, LarissaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Freedman, BenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gillet, LudovicUNSPECIFIEDorcid.org/0000-0002-4990-6212UNSPECIFIED
Goette, AndreasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Guasch, EduardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Svendsen, Jesper HastrupUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hatem, Stephane N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haeusler, Karl GeorgUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Healey, Jeff S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Heidbuchel, HeinUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hindricks, GerhardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hobbs, F. D. RichardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Huebner, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kotecha, DipakUNSPECIFIEDorcid.org/0000-0002-2570-9812UNSPECIFIED
Krekler, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Leclercq, ChristopheUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lewalter, ThorstenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lin, HonghuangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Linz, DominikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lip, Gregory Y. H.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lochen, Maja LisaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Lucassen, WimUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Malaczynska-Rajpold, KatarzynaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Massberg, SteffenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Merino, Jose L.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Meyer, RalfUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mont, LluisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Myers, Michael C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Neubeck, LisUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Niiranen, TeemuUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Oeff, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Oldgren, JonasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Potpara, Tatjana S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Psaroudakis, GeorgeUNSPECIFIEDorcid.org/0000-0002-6458-4784UNSPECIFIED
Purerfellner, HelmutUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ravens, UrsulaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rienstra, MichielUNSPECIFIEDorcid.org/0000-0002-2581-070XUNSPECIFIED
Rivard, LenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Scherr, DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schotten, UlrichUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Shah, DipenUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sinner, Moritz F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Smolnik, RudigerUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Steinbeck, GerhardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Steven, DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Svennberg, EmmaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Thomas, DierkUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hills, Mellanie TrueUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van Gelder, Isabelle C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Vardar, BurcuUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pala, ElenaUNSPECIFIEDorcid.org/0000-0002-1074-990XUNSPECIFIED
Wakili, RezaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wegscheider, KarlUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wieloch, MattiasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Willems, StephanUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Witt, HenningUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ziegler, AndreUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Zink, Matthias DanielUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kirchhof, PaulusUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-699489
DOI: 10.1093/europace/euac062
Journal or Publication Title: Europace
Publisher: OXFORD UNIV PRESS
Place of Publication: OXFORD
ISSN: 1532-2092
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
QUALITY-OF-LIFE; EHRA/HRS/APHRS/SOLAECE EXPERT CONSENSUS; PULMONARY VEIN ISOLATION; CATHETER ABLATION; MAGNETIC-RESONANCE; ORAL ANTICOAGULANTS; FOLLOW-UP; CARDIOMYOPATHIES DEFINITION; CARDIOVASCULAR EVENTS; RISK PREDICTIONMultiple languages
Cardiac & Cardiovascular SystemsMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69948

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