Dynamic risk assessment to improve quality of care in patients with atrial fibrillation: the 7th AFNET/EHRA Consensus Conference

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Dynamic risk assessment to improve quality of care in patients with atrial fibrillation : the 7th AFNET/EHRA Consensus Conference

Fabritz, Larissa (author): Univ Birmingham, Inst Cardiovasc Sci, Birmingham, W Midlands, England; Univ Hosp Birmingham, Dept Cardiol, Birmingham, W Midlands, England

Crijns, Harry J. G. M. (author): Maastricht Univ, Sch Cardiovasc Dis, Med Ctr, Maastricht, Netherlands

Guasch, Eduard (author): Univ Barcelona, Hosp Clin, CIBERCV, IDIBAPS, Barcelona, Spain

Goette, Andreas (author): St Vincenz Hosp, Med Clin 2, Paderborn, Germany; Atrial Fibrillat NETwork AFNET, Munster, Germany

Häusler, Karl Georg (author): Univ Hosp Wurzburg, Dept Neurol, Wurzburg, Germany

Kotecha, Dipak (author): Univ Birmingham, Inst Cardiovasc Sci, Birmingham, W Midlands, England

Lewalter, Thorsten (author): Atrial Fibrillat NETwork AFNET, Munster, Germany; Internist Klinikum Munchen Sud, Munich, Germany

Meyer, Christian (author): Univ Hosp Hamburg Eppendorf, Univ Heart Ctr, Hamburg, Germany

Potpara, Tatjana S. (author): Univ Belgrade, Clin Ctr Serbia, Sch Med, Belgrade, Serbia

Rienstra, Michiel (author): Univ Med Ctr Groningen, Groningen, Netherlands

Schnabel, Renate B. (author): Atrial Fibrillat NETwork AFNET, Munster, Germany; Univ Hosp Hamburg Eppendorf, Univ Heart Ctr, Hamburg, Germany

Willems, Stephan (author): Atrial Fibrillat NETwork AFNET, Munster, Germany; Asklepios Klin St Georg, Dept Cardiol, Hamburg, Germany

Breithardt, Guenter (author): Atrial Fibrillat NETwork AFNET, Munster, Germany; Asklepios Klin St Georg, Dept Cardiol, Hamburg, Germany; Univ Hosp Munster, Dept Cardiovasc Med, Munster, Germany

Camm, A. John (author): Univ London, St Georges Hosp, Med Sch, London, England

Chan, Anthony (author): Pfizer, Mississauga, ON, Canada

Chua, Winnie (author): Univ Birmingham, Inst Cardiovasc Sci, Birmingham, W Midlands, England

de Melis, Mirko (author): Medtronic, Dublin, Ireland

Dimopoulou, Christina (author): European Soc Cardiol, Sophia Antipolis, France

Dobrev, Dobromir (author): Univ Hosp Essen, Dept Cardiol, Essen, Germany,Medtronic, Dublin, Ireland

Easter, Christina (author): Univ Birmingham, Inst Cardiovasc Sci, Birmingham, W Midlands, England

Eckardt, Lars (author): Atrial Fibrillat NETwork AFNET, Munster, Germany; Univ Hosp Munster, Dept Cardiovasc Med, Munster, Germany

Haase, Doreen (author): Atrial Fibrillat NETwork AFNET, Munster, Germany

Hatem, Stephane (author): Sorbonne Univ, Pitie Salpetriere Hosp, AP HP, Dept Cardiol,Fac Med UPMC, Paris, France

Healey, Jeff S. (author): Populat Hlth Res Inst Hamilton, Hamilton, ON, Canada

Heijman, Jordi (author): Univ Hosp Birmingham, Dept Cardiol, Birmingham, W Midlands, England

Hohnloser, Stefan H. (author): Goethe Univ Frankfurt, Dept Cardiol, Frankfurt, Germany,Antwerp Univ, Univ Hosp, Dept Cardiol, Antwerp, Belgium

Huebner, Thomas (author): Preventicus, Jena, Germany

Ilyas, Bushra Saeed (author): Pfizer, Mississauga, ON, Canada

Isaacs, Aaron (author): Maastricht Univ, Sch Cardiovasc Dis, Med Ctr, Maastricht, Netherlands

Kutschka, Ingo (author): Atrial Fibrillat NETwork AFNET, Munster, Germany; Univ Hosp Gottingen, Klin Thorax Herz & Gefasschirurg, Gottingen, Germany

Leclercq, Christophe (author): Univ Rennes, INSERM, CHU Rennes, LTSI,UMR 1099, F-35000 Rennes, France

Lip, Gregory Y. H. (author): Univ Liverpool, Liverpool Ctr Cardiovasc Sci, Liverpool, Merseyside, England

Marinelli, Elena Andreassi (author): Daiichi Sankyo Europe, Munich, Germany

Merino, Jose L. (author): La Paz Univ Hosp, Arrhythmia & Robot EP Unit, Madrid, Spain

Mont, Lluís (author): Univ Barcelona, Hosp Clin, Barcelona, Catalonia, Spain

Nabauer, Michael (author): Atrial Fibrillat NETwork AFNET, Munster, Germany; Univ Hosp Munich, Med Klin & Poliklin 1, Munich, Germany

Oldgren, Jonas, 1964- (author): Uppsala universitet,Kardiologi,Uppsala kliniska forskningscentrum (UCR)

Pürerfellner, Helmut (author): Ordensklinikum Linz, Dept Rhythmol & Elektrophysiol, Linz, Austria

Ravens, Ursula (author): Atrial Fibrillat NETwork AFNET, Munster, Germany; Univ Herzentrum Freiburg, Inst Expt Kardiovaskulare Med, Bad Krozingen, Germany

Savelieva, Irina (author): St Georges Univ London, London, England

Sinner, Moritz F. (author): Univ Hosp Munich, Med Klin & Poliklin 1, Munich, Germany

Sitch, Alice (author): Univ Birmingham, Inst Cardiovasc Sci, Birmingham, W Midlands, England

Smolnik, Rüdiger (author): Daiichi Sankyo Europe, Munich, Germany

Steffel, Jan (author): Univ Heart Ctr Zurich, Zurich, Switzerland

Stein, Kenneth (author): Boston Sci, Boston, MA USA

Stoll, Monika (author): Maastricht Univ, Sch Cardiovasc Dis, Med Ctr, Maastricht, Netherlands

Svennberg, Emma (author): Karolinska Institutet,Karolinska Inst, Danderyds Hosp Stockholm, Dept Clin Sci, Div Cardiovasc Med, Stockholm, Sweden

Thomas, Dierk (author): Atrial Fibrillat NETwork AFNET, Munster, Germany; Med Univ Hosp Heidelberg, Dept Internal Med Cardiol Angiol & Pneumonol 3, Heidelberg, Germany

Van Gelder, Isabelle C. (author): Univ Groningen, Univ Med Ctr Groningen, Dept Cardiol, Groningen, Netherlands

Vardar, Burcu (author): Bayer Healthcare, Machelen, Belgium

Wakili, Reza (author): Atrial Fibrillat NETwork AFNET, Munster, Germany; Univ Hosp Essen, Dept Cardiol, Essen, Germany

Wieloch, Mattias (author): Sanofi, Paris, France

Zeemering, Stef (author): Univ Groningen, Univ Med Ctr Groningen, Dept Cardiol, Groningen, Netherlands

Ziegler, Paul D. (author): Medtronic, Dublin, Ireland

Heidbuchel, Hein (author): Antwerp Univ, Univ Hosp, Dept Cardiol, Antwerp, Belgium

Hindricks, Gerhard (author): Univ Leipzig, Heart Ctr Leipzig, Dept Electrophysiol, Leipzig, Germany

Schotten, Ulrich (author): Maastricht Univ, Sch Cardiovasc Dis, Med Ctr, Maastricht, Netherlands; Atrial Fibrillat NETwork AFNET, Munster, Germany; Univ Groningen, Univ Med Ctr Groningen, Dept Cardiol, Groningen, Netherlands

Kirchhof, Paulus (author): Univ Birmingham, Inst Cardiovasc Sci, Birmingham, W Midlands, England; Atrial Fibrillat NETwork AFNET, Munster, Germany; Univ Hosp Hamburg Eppendorf, Univ Heart Ctr, Hamburg, Germany

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(creator_code:org_t)

2020-12-29
2021
English.
In: Europace. - : Oxford University Press. - 1099-5129 .- 1532-2092. ; 23:3, s. 329-344

Related links:: https://academic.oup...; show more...; https://urn.kb.se/re...; https://doi.org/10.1...; http://kipublication...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

AimsThe risk of developing atrial fibrillation (AF) and its complications continues to increase, despite good progress in preventing AF-related strokes.Methods and resultsThis article summarizes the outcomes of the 7th Consensus Conference of the Atrial Fibrillation NETwork (AFNET) and the European Heart Rhythm Association (EHRA) held in Lisbon in March 2019. Sixty-five international AF specialists met to present new data and find consensus on pressing issues in AF prevention, management and future research to improve care for patients with AF and prevent AF-related complications. This article is the main outcome of an interactive, iterative discussion between breakout specialist groups and the meeting plenary. AF patients have dynamic risk profiles requiring repeated assessment and risk-based therapy stratification to optimize quality of care. Interrogation of deeply phenotyped datasets with outcomes will lead to a better understanding of the cardiac and systemic effects of AF, interacting with comorbidities and predisposing factors, enabling stratified therapy. New proposals include an algorithm for the acute management of patients with AF and heart failure, a call for a refined, data-driven assessment of stroke risk, suggestions for anticoagulation use in special populations, and a call for rhythm control therapy selection based on risk of AF recurrence.ConclusionThe remaining morbidity and mortality in patients with AF needs better characterization. Likely drivers of the remaining AF-related problems are AF burden, potentially treatable by rhythm control therapy, and concomitant conditions, potentially treatable by treating these conditions. Identifying the drivers of AF-related complications holds promise for stratified therapy.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)

Keyword

Atrial fibrillation
Big data
Lifestyle
Heart failure
Atrial cardiomyopathy
Cognitive function
Outcomes
Quality of care
Research
Rate control
Rhythm control
Catheter ablation
Anticoagulation
Bleeding
Research priorities
Technology
Stroke
Integrated care
Screening
AFNET
EHRA
Consensus statement

Publication and Content Type

ref (subject category)
art (subject category)

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By the author/editor: Fabritz, Larissa; Crijns, Harry J. ...; Guasch, Eduard; Goette, Andreas; Häusler, Karl Ge ...; Kotecha, Dipak; show more...; Lewalter, Thorst ...; Meyer, Christian; Potpara, Tatjana ...; Rienstra, Michie ...; Schnabel, Renate ...; Willems, Stephan; Breithardt, Guen ...; Camm, A. John; Chan, Anthony; Chua, Winnie; de Melis, Mirko; Dimopoulou, Chri ...; Dobrev, Dobromir; Easter, Christin ...; Eckardt, Lars; Haase, Doreen; Hatem, Stephane; Healey, Jeff S.; Heijman, Jordi; Hohnloser, Stefa ...; Huebner, Thomas; Ilyas, Bushra Sa ...; Isaacs, Aaron; Kutschka, Ingo; Leclercq, Christ ...; Lip, Gregory Y. ...; Marinelli, Elena ...; Merino, Jose L.; Mont, Lluís; Nabauer, Michael; Oldgren, Jonas, ...; Pürerfellner, He ...; Ravens, Ursula; Savelieva, Irina; Sinner, Moritz F ...; Sitch, Alice; Smolnik, Rüdiger; Steffel, Jan; Stein, Kenneth; Stoll, Monika; Svennberg, Emma; Thomas, Dierk; Van Gelder, Isab ...; Vardar, Burcu; Wakili, Reza; Wieloch, Mattias; Zeemering, Stef; Ziegler, Paul D.; Heidbuchel, Hein; Hindricks, Gerha ...; Schotten, Ulrich; Kirchhof, Paulus; show less...

About the subject

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cardiac and Card ...

Articles in the publication: Europace

By the university: Uppsala University; Karolinska Institutet

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