Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation: the 8th AFNET/EHRA consensus conference

Research output: Contribution to journalJournal articlepeer-review

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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; Boriani, Giuseppe; Boveda, Serge; Buckley, Claire M.; Camm, A. John; Casadei, Barbara; 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; 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; 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; Purerfellner, Helmut; Ravens, Ursula; Rienstra, Michiel; 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; Wakili, Reza; Wegscheider, Karl; Wieloch, Mattias; Willems, Stephan; Witt, Henning; Ziegler, Andre; Zink, Matthias Daniel; Kirchhof, Paulus.

In: Europace, Vol. 25, No. 1, 2023, p. 6–27.

Research output: Contribution to journalJournal articlepeer-review

Harvard

Schnabel, RB, Marinelli, EA, Arbelo, E, Boriani, G, Boveda, S, Buckley, CM, Camm, AJ, Casadei, B, Chua, W, Dagres, N, de Melis, M, Desteghe, L, Diederichsen, SZ, Duncker, D, Eckardt, L, Eisert, C, Engler, D, Fabritz, L, Freedman, B, Gillet, L, Goette, A, Guasch, E, Svendsen, JH, Hatem, SN, Haeusler, KG, Healey, JS, Heidbuchel, H, Hindricks, G, Hobbs, FDR, Huebner, T, Kotecha, D, Krekler, M, Leclercq, C, Lewalter, T, Lin, H, Linz, D, Lip, GYH, Lochen, ML, Lucassen, W, Malaczynska-Rajpold, K, Massberg, S, Merino, JL, Meyer, R, Mont, L, Myers, MC, Neubeck, L, Niiranen, T, Oeff, M, Oldgren, J, Potpara, TS, Psaroudakis, G, Purerfellner, H, Ravens, U, Rienstra, M, Rivard, L, Scherr, D, Schotten, U, Shah, D, Sinner, MF, Smolnik, R, Steinbeck, G, Steven, D, Svennberg, E, Thomas, D, Hills, MT, van Gelder, IC, Vardar, B, Pala, E, Wakili, R, Wegscheider, K, Wieloch, M, Willems, S, Witt, H, Ziegler, A, Zink, MD & Kirchhof, P 2023, 'Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation: the 8th AFNET/EHRA consensus conference', Europace, vol. 25, no. 1, pp. 6–27. https://doi.org/10.1093/europace/euac062

APA

Schnabel, R. B., Marinelli, E. A., Arbelo, E., Boriani, G., Boveda, S., Buckley, C. M., Camm, A. J., Casadei, B., Chua, W., Dagres, N., de Melis, M., Desteghe, L., Diederichsen, S. Z., Duncker, D., Eckardt, L., Eisert, C., Engler, D., Fabritz, L., Freedman, B., ... Kirchhof, P. (2023). Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation: the 8th AFNET/EHRA consensus conference. Europace, 25(1), 6–27. https://doi.org/10.1093/europace/euac062

Vancouver

Schnabel RB, Marinelli EA, Arbelo E, Boriani G, Boveda S, Buckley CM et al. Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation: the 8th AFNET/EHRA consensus conference. Europace. 2023;25(1):6–27. https://doi.org/10.1093/europace/euac062

Author

Schnabel, Renate B. ; Marinelli, Elena Andreassi ; Arbelo, Elena ; Boriani, Giuseppe ; Boveda, Serge ; Buckley, Claire M. ; Camm, A. John ; Casadei, Barbara ; 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 ; 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 ; 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 ; Purerfellner, Helmut ; Ravens, Ursula ; Rienstra, Michiel ; 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 ; Wakili, Reza ; Wegscheider, Karl ; Wieloch, Mattias ; Willems, Stephan ; Witt, Henning ; Ziegler, Andre ; Zink, Matthias Daniel ; Kirchhof, Paulus. / Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation : the 8th AFNET/EHRA consensus conference. In: Europace. 2023 ; Vol. 25, No. 1. pp. 6–27.

Bibtex

@article{d6baaa5b49db4684808d04f6ce9887ae,
title = "Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation: the 8th AFNET/EHRA consensus conference",
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.",
keywords = "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, 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 PREDICTION",
author = "Schnabel, {Renate B.} and Marinelli, {Elena Andreassi} and Elena Arbelo and Giuseppe Boriani and Serge Boveda and Buckley, {Claire M.} and Camm, {A. John} and Barbara Casadei and Winnie Chua and Nikolaos Dagres and {de Melis}, Mirko and Lien Desteghe and Diederichsen, {Soren Zoga} and David Duncker and Lars Eckardt and Christoph Eisert and Daniel Engler and Larissa Fabritz and Ben Freedman and Ludovic Gillet and Andreas Goette and Eduard Guasch and Svendsen, {Jesper Hastrup} and Hatem, {Stephane N.} and Haeusler, {Karl Georg} and Healey, {Jeff S.} and Hein Heidbuchel and Gerhard Hindricks and Hobbs, {F. D. Richard} and Thomas Huebner and Dipak Kotecha and Michael Krekler and Christophe Leclercq and Thorsten Lewalter and Honghuang Lin and Dominik Linz and Lip, {Gregory Y. H.} and Lochen, {Maja Lisa} and Wim Lucassen and Katarzyna Malaczynska-Rajpold and Steffen Massberg and Merino, {Jose L.} and Ralf Meyer and Lluis Mont and Myers, {Michael C.} and Lis Neubeck and Teemu Niiranen and Michael Oeff and Jonas Oldgren and Potpara, {Tatjana S.} and George Psaroudakis and Helmut Purerfellner and Ursula Ravens and Michiel Rienstra and Lena Rivard and Daniel Scherr and Ulrich Schotten and Dipen Shah and Sinner, {Moritz F.} and Rudiger Smolnik and Gerhard Steinbeck and Daniel Steven and Emma Svennberg and Dierk Thomas and Hills, {Mellanie True} and {van Gelder}, {Isabelle C.} and Burcu Vardar and Elena Pala and Reza Wakili and Karl Wegscheider and Mattias Wieloch and Stephan Willems and Henning Witt and Andre Ziegler and Zink, {Matthias Daniel} and Paulus Kirchhof",
year = "2023",
doi = "10.1093/europace/euac062",
language = "English",
volume = "25",
pages = "6–27",
journal = "Europace",
issn = "1099-5129",
publisher = "Oxford University Press",
number = "1",

}

RIS

TY - JOUR

T1 - Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation

T2 - the 8th AFNET/EHRA consensus conference

AU - Schnabel, Renate B.

AU - Marinelli, Elena Andreassi

AU - Arbelo, Elena

AU - Boriani, Giuseppe

AU - Boveda, Serge

AU - Buckley, Claire M.

AU - Camm, A. John

AU - Casadei, Barbara

AU - Chua, Winnie

AU - Dagres, Nikolaos

AU - de Melis, Mirko

AU - Desteghe, Lien

AU - Diederichsen, Soren Zoga

AU - Duncker, David

AU - Eckardt, Lars

AU - Eisert, Christoph

AU - Engler, Daniel

AU - Fabritz, Larissa

AU - Freedman, Ben

AU - Gillet, Ludovic

AU - Goette, Andreas

AU - Guasch, Eduard

AU - Svendsen, Jesper Hastrup

AU - Hatem, Stephane N.

AU - Haeusler, Karl Georg

AU - Healey, Jeff S.

AU - Heidbuchel, Hein

AU - Hindricks, Gerhard

AU - Hobbs, F. D. Richard

AU - Huebner, Thomas

AU - Kotecha, Dipak

AU - Krekler, Michael

AU - Leclercq, Christophe

AU - Lewalter, Thorsten

AU - Lin, Honghuang

AU - Linz, Dominik

AU - Lip, Gregory Y. H.

AU - Lochen, Maja Lisa

AU - Lucassen, Wim

AU - Malaczynska-Rajpold, Katarzyna

AU - Massberg, Steffen

AU - Merino, Jose L.

AU - Meyer, Ralf

AU - Mont, Lluis

AU - Myers, Michael C.

AU - Neubeck, Lis

AU - Niiranen, Teemu

AU - Oeff, Michael

AU - Oldgren, Jonas

AU - Potpara, Tatjana S.

AU - Psaroudakis, George

AU - Purerfellner, Helmut

AU - Ravens, Ursula

AU - Rienstra, Michiel

AU - Rivard, Lena

AU - Scherr, Daniel

AU - Schotten, Ulrich

AU - Shah, Dipen

AU - Sinner, Moritz F.

AU - Smolnik, Rudiger

AU - Steinbeck, Gerhard

AU - Steven, Daniel

AU - Svennberg, Emma

AU - Thomas, Dierk

AU - Hills, Mellanie True

AU - van Gelder, Isabelle C.

AU - Vardar, Burcu

AU - Pala, Elena

AU - Wakili, Reza

AU - Wegscheider, Karl

AU - Wieloch, Mattias

AU - Willems, Stephan

AU - Witt, Henning

AU - Ziegler, Andre

AU - Zink, Matthias Daniel

AU - Kirchhof, Paulus

PY - 2023

Y1 - 2023

N2 - 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.

AB - 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.

KW - Atrial fibrillation

KW - Artificial intelligence

KW - Heart failure

KW - Atrial cardiomyopathy

KW - Cognitive function

KW - Dementia

KW - Outcomes

KW - Quality of care

KW - Cost

KW - Research

KW - Rhythm management

KW - Catheter ablation

KW - Anticoagulation

KW - Bleeding

KW - Research priorities

KW - Technology

KW - Stroke

KW - Integrated care

KW - Screening

KW - AFNET

KW - EHRA

KW - Guidelines

KW - Consensus statement

KW - QUALITY-OF-LIFE

KW - EHRA/HRS/APHRS/SOLAECE EXPERT CONSENSUS

KW - PULMONARY VEIN ISOLATION

KW - CATHETER ABLATION

KW - MAGNETIC-RESONANCE

KW - ORAL ANTICOAGULANTS

KW - FOLLOW-UP

KW - CARDIOMYOPATHIES DEFINITION

KW - CARDIOVASCULAR EVENTS

KW - RISK PREDICTION

U2 - 10.1093/europace/euac062

DO - 10.1093/europace/euac062

M3 - Journal article

C2 - 35894842

VL - 25

SP - 6

EP - 27

JO - Europace

JF - Europace

SN - 1099-5129

IS - 1

ER -

ID: 316690156