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Article Dans Une Revue EP-Europace Année : 2021

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

1 University of Birmingham [Birmingham]
2 University Hospitals Birmingham [Birmingham, Royaume-Uni]
3 MUMC - Maastricht University Medical Centre
4 University of Barcelona
5 University Hospital of Würzburg
6 University Hospital Hamburg-Eppendorf
7 University of Belgrade [Belgrade]
8 UMCG - University Medical Center Groningen [Groningen]
9 Asklepios Klinik St. Georg
10 UKM - University Hospital Münster - Universitaetsklinikum Muenster [Germany]
11 University of London [London]
12 Pfizer
13 Medtronic Inc [Minneapolis, MI, USA]
14 ESC - European Society of Cardiology
15 AöR - University Hospital Essen
16 CHU Pitié-Salpêtrière [AP-HP]
17 SU - Sorbonne Université
18 UPMC - Université Pierre et Marie Curie - Paris 6
19 Population Health Research Institute [Hamilton, ON, Canada]
20 Goethe-Universität Frankfurt am Main
21 University Hospital Göttingen
22 Centre Hospitalier Universitaire de Rennes [CHU Rennes] = Rennes University Hospital [Ponchaillou]
23 LTSI - Laboratoire Traitement du Signal et de l'Image
24 University of Liverpool
25 La Paz University Hospital
26 UB - Universitat de Barcelona
27 University-Hospital Munich-Großhadern [München]
28 Uppsala University
29 Ordensklinikum Linz Elisabethinen
30 St George's, University of London
31 UZH - Universität Zürich [Zürich] = University of Zurich
32 Boston Scientific
33 Karolinska Institutet [Stockholm]
34 Heidelberg University Hospital [Heidelberg]
35 University of Groningen [Groningen]
36 SANOFI Recherche
37 UA - University of Antwerp
38 Leipzig University / Universität Leipzig
Andreas Goette
  • Fonction : Auteur
Thorsten Lewalter
  • Fonction : Auteur
Anthony Chan
  • Fonction : Auteur
Doreen Haase
  • Fonction : Auteur
Thomas Huebner
  • Fonction : Auteur
Bushra Saeed Ilyas
  • Fonction : Auteur
Elena Andreassi Marinelli
  • Fonction : Auteur
Jonas Oldgren
  • Fonction : Auteur
Ursula Ravens
  • Fonction : Auteur
Rüdiger Smolnik
  • Fonction : Auteur
Kenneth Stein
  • Fonction : Auteur
Burcu Vardar
  • Fonction : Auteur
Mattias Wieloch
  • Fonction : Auteur

Résumé

Abstract Aims The risk of developing atrial fibrillation (AF) and its complications continues to increase, despite good progress in preventing AF-related strokes. Methods and results This 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. Conclusion The 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.

Dates et versions

hal-03984791 , version 1 (13-02-2023)

Identifiants

Citer

Larissa Fabritz, Harry Crijns, Eduard Guasch, Andreas Goette, Karl Georg Häusler, et al.. Dynamic risk assessment to improve quality of care in patients with atrial fibrillation: the 7th AFNET/EHRA Consensus Conference. EP-Europace, 2021, 23 (3), pp.329-344. ⟨10.1093/europace/euaa279⟩. ⟨hal-03984791⟩
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