Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation : the 8th AFNET/EHRA consensus conference
© The Author(s) 2022. Published by Oxford University Press on behalf of European Society of Cardiology..
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Results of the interdisciplinary, hybrid discussions in breakout groups and the plenary based on recently published and unpublished observations are summarized in this consensus paper to support improved care for patients with AF by guiding prevention, individualized management, and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.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2023 |
|---|---|
| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:25 |
|---|---|
| Enthalten in: |
Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology - 25(2023), 1 vom: 08. Feb., Seite 6-27 |
| Sprache: |
Englisch |
|---|
| Links: |
|---|
| Anmerkungen: |
Date Completed 10.02.2023 Date Revised 01.07.2023 published: Print Citation Status MEDLINE |
|---|
| doi: |
10.1093/europace/euac062 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM344146278 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM344146278 | ||
| 003 | DE-627 | ||
| 005 | 20231226022107.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231226s2023 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1093/europace/euac062 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1147.xml |
| 035 | |a (DE-627)NLM344146278 | ||
| 035 | |a (NLM)35894842 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Schnabel, Renate B |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation |b the 8th AFNET/EHRA consensus conference |
| 264 | 1 | |c 2023 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 10.02.2023 | ||
| 500 | |a Date Revised 01.07.2023 | ||
| 500 | |a published: Print | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © The Author(s) 2022. Published by Oxford University Press on behalf of European Society of Cardiology. | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a AFNET | |
| 650 | 4 | |a Anticoagulation | |
| 650 | 4 | |a Artificial intelligence | |
| 650 | 4 | |a Atrial cardiomyopathy | |
| 650 | 4 | |a Atrial fibrillation | |
| 650 | 4 | |a Bleeding | |
| 650 | 4 | |a Catheter ablation | |
| 650 | 4 | |a Cognitive function | |
| 650 | 4 | |a Consensus statement | |
| 650 | 4 | |a Cost | |
| 650 | 4 | |a Dementia | |
| 650 | 4 | |a EHRA | |
| 650 | 4 | |a Guidelines | |
| 650 | 4 | |a Heart failure | |
| 650 | 4 | |a Integrated care | |
| 650 | 4 | |a Outcomes | |
| 650 | 4 | |a Quality of care | |
| 650 | 4 | |a Research | |
| 650 | 4 | |a Research priorities | |
| 650 | 4 | |a Rhythm management | |
| 650 | 4 | |a Screening | |
| 650 | 4 | |a Stroke | |
| 650 | 4 | |a Technology | |
| 700 | 1 | |a Marinelli, Elena Andreassi |e verfasserin |4 aut | |
| 700 | 1 | |a Arbelo, Elena |e verfasserin |4 aut | |
| 700 | 1 | |a Boriani, Giuseppe |e verfasserin |4 aut | |
| 700 | 1 | |a Boveda, Serge |e verfasserin |4 aut | |
| 700 | 1 | |a Buckley, Claire M |e verfasserin |4 aut | |
| 700 | 1 | |a Camm, A John |e verfasserin |4 aut | |
| 700 | 1 | |a Casadei, Barbara |e verfasserin |4 aut | |
| 700 | 1 | |a Chua, Winnie |e verfasserin |4 aut | |
| 700 | 1 | |a Dagres, Nikolaos |e verfasserin |4 aut | |
| 700 | 1 | |a de Melis, Mirko |e verfasserin |4 aut | |
| 700 | 1 | |a Desteghe, Lien |e verfasserin |4 aut | |
| 700 | 1 | |a Diederichsen, Søren Zöga |e verfasserin |4 aut | |
| 700 | 1 | |a Duncker, David |e verfasserin |4 aut | |
| 700 | 1 | |a Eckardt, Lars |e verfasserin |4 aut | |
| 700 | 1 | |a Eisert, Christoph |e verfasserin |4 aut | |
| 700 | 1 | |a Engler, Daniel |e verfasserin |4 aut | |
| 700 | 1 | |a Fabritz, Larissa |e verfasserin |4 aut | |
| 700 | 1 | |a Freedman, Ben |e verfasserin |4 aut | |
| 700 | 1 | |a Gillet, Ludovic |e verfasserin |4 aut | |
| 700 | 1 | |a Goette, Andreas |e verfasserin |4 aut | |
| 700 | 1 | |a Guasch, Eduard |e verfasserin |4 aut | |
| 700 | 1 | |a Svendsen, Jesper Hastrup |e verfasserin |4 aut | |
| 700 | 1 | |a Hatem, Stéphane N |e verfasserin |4 aut | |
| 700 | 1 | |a Haeusler, Karl Georg |e verfasserin |4 aut | |
| 700 | 1 | |a Healey, Jeff S |e verfasserin |4 aut | |
| 700 | 1 | |a Heidbuchel, Hein |e verfasserin |4 aut | |
| 700 | 1 | |a Hindricks, Gerhard |e verfasserin |4 aut | |
| 700 | 1 | |a Hobbs, F D Richard |e verfasserin |4 aut | |
| 700 | 1 | |a Hübner, Thomas |e verfasserin |4 aut | |
| 700 | 1 | |a Kotecha, Dipak |e verfasserin |4 aut | |
| 700 | 1 | |a Krekler, Michael |e verfasserin |4 aut | |
| 700 | 1 | |a Leclercq, Christophe |e verfasserin |4 aut | |
| 700 | 1 | |a Lewalter, Thorsten |e verfasserin |4 aut | |
| 700 | 1 | |a Lin, Honghuang |e verfasserin |4 aut | |
| 700 | 1 | |a Linz, Dominik |e verfasserin |4 aut | |
| 700 | 1 | |a Lip, Gregory Y H |e verfasserin |4 aut | |
| 700 | 1 | |a Løchen, Maja Lisa |e verfasserin |4 aut | |
| 700 | 1 | |a Lucassen, Wim |e verfasserin |4 aut | |
| 700 | 1 | |a Malaczynska-Rajpold, Katarzyna |e verfasserin |4 aut | |
| 700 | 1 | |a Massberg, Steffen |e verfasserin |4 aut | |
| 700 | 1 | |a Merino, Jose L |e verfasserin |4 aut | |
| 700 | 1 | |a Meyer, Ralf |e verfasserin |4 aut | |
| 700 | 1 | |a Mont, Lluıs |e verfasserin |4 aut | |
| 700 | 1 | |a Myers, Michael C |e verfasserin |4 aut | |
| 700 | 1 | |a Neubeck, Lis |e verfasserin |4 aut | |
| 700 | 1 | |a Niiranen, Teemu |e verfasserin |4 aut | |
| 700 | 1 | |a Oeff, Michael |e verfasserin |4 aut | |
| 700 | 1 | |a Oldgren, Jonas |e verfasserin |4 aut | |
| 700 | 1 | |a Potpara, Tatjana S |e verfasserin |4 aut | |
| 700 | 1 | |a Psaroudakis, George |e verfasserin |4 aut | |
| 700 | 1 | |a Pürerfellner, Helmut |e verfasserin |4 aut | |
| 700 | 1 | |a Ravens, Ursula |e verfasserin |4 aut | |
| 700 | 1 | |a Rienstra, Michiel |e verfasserin |4 aut | |
| 700 | 1 | |a Rivard, Lena |e verfasserin |4 aut | |
| 700 | 1 | |a Scherr, Daniel |e verfasserin |4 aut | |
| 700 | 1 | |a Schotten, Ulrich |e verfasserin |4 aut | |
| 700 | 1 | |a Shah, Dipen |e verfasserin |4 aut | |
| 700 | 1 | |a Sinner, Moritz F |e verfasserin |4 aut | |
| 700 | 1 | |a Smolnik, Rüdiger |e verfasserin |4 aut | |
| 700 | 1 | |a Steinbeck, Gerhard |e verfasserin |4 aut | |
| 700 | 1 | |a Steven, Daniel |e verfasserin |4 aut | |
| 700 | 1 | |a Svennberg, Emma |e verfasserin |4 aut | |
| 700 | 1 | |a Thomas, Dierk |e verfasserin |4 aut | |
| 700 | 1 | |a True Hills, Mellanie |e verfasserin |4 aut | |
| 700 | 1 | |a van Gelder, Isabelle C |e verfasserin |4 aut | |
| 700 | 1 | |a Vardar, Burcu |e verfasserin |4 aut | |
| 700 | 1 | |a Palà, Elena |e verfasserin |4 aut | |
| 700 | 1 | |a Wakili, Reza |e verfasserin |4 aut | |
| 700 | 1 | |a Wegscheider, Karl |e verfasserin |4 aut | |
| 700 | 1 | |a Wieloch, Mattias |e verfasserin |4 aut | |
| 700 | 1 | |a Willems, Stephan |e verfasserin |4 aut | |
| 700 | 1 | |a Witt, Henning |e verfasserin |4 aut | |
| 700 | 1 | |a Ziegler, André |e verfasserin |4 aut | |
| 700 | 1 | |a Daniel Zink, Matthias |e verfasserin |4 aut | |
| 700 | 1 | |a Kirchhof, Paulus |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology |d 1999 |g 25(2023), 1 vom: 08. Feb., Seite 6-27 |w (DE-627)NLM111066492 |x 1532-2092 |7 nnns |
| 773 | 1 | 8 | |g volume:25 |g year:2023 |g number:1 |g day:08 |g month:02 |g pages:6-27 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1093/europace/euac062 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 25 |j 2023 |e 1 |b 08 |c 02 |h 6-27 | ||