Early diagnosis and better rhythm management to improve outcomes in patients with atrial fibrillation: the 8th AFNET/EHRA consensus conference
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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 journal › Journal article › Research › peer-review
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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