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

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 A...

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Autores: Schnabel, Renate B|||0000-0001-7170-9509, Marinelli, Elena Andreassi, Arbelo, Elena|||0000-0003-0424-6393, Boriani, Giuseppe|||0000-0002-9820-4815, Boveda, Serge|||0000-0002-1280-7042, Buckley, Claire M, Camm, A John, Casadei, Barbara, Chua, Winnie, Dagres, Nikolaos, de Melis, Mirko, Desteghe, Lien, Diederichsen, Søren Zöga, Duncker, David|||0000-0002-3735-8503, Eckardt, Lars, Eisert, Christoph, Engler, Daniel|||0000-0002-9519-6258, Fabritz, Larissa|||0000-0002-9241-1733, Freedman, Ben|||0000-0002-3809-2911, Gillet, Ludovic, Goette, Andreas|||0000-0002-9790-0755, Guasch, Eduard|||0000-0003-4238-5319, Svendsen, Jesper Hastrup, Hatem, Stéphane N, Haeusler, Karl Georg|||0000-0002-6389-5054, Healey, Jeff S|||0000-0003-1216-7580, Heidbuchel, Hein, Hindricks, Gerhard, Hobbs, F D Richard, Hübner, Thomas, Kotecha, Dipak|||0000-0002-2570-9812, Krekler, Michael, Leclercq, Christophe, Lewalter, Thorsten, Lin, Honghuang, Linz, Dominik|||0000-0003-4893-0824, Lip, Gregory Y H, Løchen, Maja Lisa, Lucassen, Wim, Malaczynska-Rajpold, Katarzyna|||0000-0002-9049-546X, Massberg, Steffen, Merino, Jose L|||0000-0002-1737-1903, Meyer, Ralf, Mont, Lluıs, Myers, Michael C, Neubeck, Lis, Niiranen, Teemu, Oeff, Michael, Oldgren, Jonas, Potpara, Tatjana S, Psaroudakis, George, Pürerfellner, Helmut, Ravens, Ursula|||0000-0003-3813-3127, Rienstra, Michiel|||0000-0002-2581-070X, Rivard, Lena, Scherr, Daniel|||0000-0001-5868-5493, Schotten, Ulrich, Shah, Dipen, Sinner, Moritz F, Smolnik, Rüdiger, Steinbeck, Gerhard, Steven, Daniel|||0000-0001-6839-5895, Svennberg, Emma, Thomas, Dierk, True Hills, Mellanie, van Gelder, Isabelle C|||0000-0002-7579-1201, Vardar, Burcu, Palà, Elena|||0000-0002-1074-990X, Wakili, Reza, Wegscheider, Karl, Wieloch, Mattias, Willems, Stephan|||0000-0002-8890-5749, Witt, Henning|||0000-0001-6256-3763, Ziegler, André, Daniel Zink, Matthias, Kirchhof, Paulus
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:281384
Acceso en línea:https://ddd.uab.cat/record/281384
https://dx.doi.org/urn:doi:10.1093/europace/euac062
Access Level:acceso abierto
Palabra clave: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
Descripción
Sumario: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.

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