Back to Search Start Over

Longer and better lives for patients with atrial fibrillation : the 9th AFNET/EHRA consensus conference

Authors :
Linz, Dominik
Andrade, Jason G.
Arbelo, Elena
Boriani, Giuseppe
Breithardt, Guenter
Camm, A. John
Caso, Valeria
Nielsen, Jens Cosedis
De Melis, Mirko
De Potter, Tom
Dichtl, Wolfgang
Diederichsen, Søren Zoega
Dobrev, Dobromir
Doll, Nicolas
Duncker, David
Dworatzek, Elke
Eckardt, Lars
Eisert, Christoph
Fabritz, Larissa
Farkowski, Michal
Filgueiras-Rama, David
Goette, Andreas
Guasch, Eduard
Hack, Guido
Hatem, Stephane
Haeusler, Karl Georg
Healey, Jeff S.
Heidbuechel, Hein
Hijazi, Ziad
Hofmeister, Lucas H.
Hove-Madsen, Leif
Huebner, Thomas
Kääb, Stefan
Kotecha, Dipak
Malaczynska-Rajpold, Katarzyna
Merino, Jose Luis
Metzner, Andreas
Mont, Lluis
Ng, Ghulam Andre
Oeff, Michael
Parwani, Abdul Shokor
Puererfellner, Helmut
Ravens, Ursula
Rienstra, Michiel
Sanders, Prashanthan
Scherr, Daniel
Schnabel, Renate
Schotten, Ulrich
Sohns, Christian
Steinbeck, Gerhard
Steven, Daniel
Toennis, Tobias
Tzeis, Stylianos
van Gelder, Isabelle C.
van Leerdam, Roderick H.
Vernooy, Kevin
Wadhwa, Manish
Wakili, Reza
Willems, Stephan
Witt, Henning
Zeemering, Stef
Kirchhof, Paulus
Linz, Dominik
Andrade, Jason G.
Arbelo, Elena
Boriani, Giuseppe
Breithardt, Guenter
Camm, A. John
Caso, Valeria
Nielsen, Jens Cosedis
De Melis, Mirko
De Potter, Tom
Dichtl, Wolfgang
Diederichsen, Søren Zoega
Dobrev, Dobromir
Doll, Nicolas
Duncker, David
Dworatzek, Elke
Eckardt, Lars
Eisert, Christoph
Fabritz, Larissa
Farkowski, Michal
Filgueiras-Rama, David
Goette, Andreas
Guasch, Eduard
Hack, Guido
Hatem, Stephane
Haeusler, Karl Georg
Healey, Jeff S.
Heidbuechel, Hein
Hijazi, Ziad
Hofmeister, Lucas H.
Hove-Madsen, Leif
Huebner, Thomas
Kääb, Stefan
Kotecha, Dipak
Malaczynska-Rajpold, Katarzyna
Merino, Jose Luis
Metzner, Andreas
Mont, Lluis
Ng, Ghulam Andre
Oeff, Michael
Parwani, Abdul Shokor
Puererfellner, Helmut
Ravens, Ursula
Rienstra, Michiel
Sanders, Prashanthan
Scherr, Daniel
Schnabel, Renate
Schotten, Ulrich
Sohns, Christian
Steinbeck, Gerhard
Steven, Daniel
Toennis, Tobias
Tzeis, Stylianos
van Gelder, Isabelle C.
van Leerdam, Roderick H.
Vernooy, Kevin
Wadhwa, Manish
Wakili, Reza
Willems, Stephan
Witt, Henning
Zeemering, Stef
Kirchhof, Paulus
Publication Year :
2024

Abstract

Aims: Recent trial data demonstrate beneficial effects of active rhythm management in patients with atrial fibrillation (AF) and support the concept that a low arrhythmia burden is associated with a low risk of AF-related complications. The aim of this document is to summarize the key outcomes of the 9th AFNET/EHRA Consensus Conference of the Atrial Fibrillation NETwork (AFNET) and the European Heart Rhythm Association (EHRA). Methods and results: Eighty-three international experts met in Munster for 2 days in September 2023. Key findings are as follows: (i) Active rhythm management should be part of the default initial treatment for all suitable patients with AF. (ii) Patients with device-detected AF have a low burden of AF and a low risk of stroke. Anticoagulation prevents some strokes and also increases major but non-lethal bleeding. (iii) More research is needed to improve stroke risk prediction in patients with AF, especially in those with a low AF burden. Biomolecules, genetics, and imaging can support this. (iv) The presence of AF should trigger systematic workup and comprehensive treatment of concomitant cardiovascular conditions. (v) Machine learning algorithms have been used to improve detection or likely development of AF. Cooperation between clinicians and data scientists is needed to leverage the potential of data science applications for patients with AF. Conclusions: Patients with AF and a low arrhythmia burden have a lower risk of stroke and other cardiovascular events than those with a high arrhythmia burden. Combining active rhythm control, anticoagulation, rate control, and therapy of concomitant cardiovascular conditions can improve the lives of patients with AF. Graphical Abstract

Details

Database :
OAIster
Notes :
application/pdf, English
Publication Type :
Electronic Resource
Accession number :
edsoai.on1457288355
Document Type :
Electronic Resource
Full Text :
https://doi.org/10.1093.europace.euae070