Dynamic risk assessment to improve quality of care in patients with atrial fibrillation: the 7th AFNET/EHRA Consensus Conference.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Fabritz Larissa, Crijns Harry J G M, Guasch Eduard, Goette Andreas, Häusler Karl Georg, Kotecha Dipak, Lewalter Thorsten, Meyer Christian, Potpara Tatjana S, Rienstra Michiel, Schnabel Renate B, Willems Stephan, Breithardt Guenter, Camm A John, Chan Anthony, Chua Winnie, de Melis Mirko, Dimopoulou Christina, Dobrev Dobromir, Easter Christina, Eckardt Lars, Haase Doreen, Hatem Stephane, Healey Jeff S, Heijman Jordi, Hohnloser Stefan H, Huebner Thomas, Ilyas Bushra Saeed, Isaacs Aaron, Kutschka Ingo, Leclercq Christophe, Lip Gregory Y H, Marinelli Elena Andreassi, Merino Jose L, Mont Lluís, Nabauer Michael, Oldgren Jonas, Pürerfellner Helmut, Ravens Ursula, Savelieva Irina, Sinner Moritz F, Sitch Alice, Smolnik Rüdiger, Steffel Jan, Stein Kenneth, Stoll Monika, Svennberg Emma, Thomas Dierk, Van Gelder Isabelle C, Vardar Burcu, Wakili Reza, Wieloch Mattias, Zeemering Stef, Ziegler Paul D, Heidbuchel Hein, Hindricks Gerhard, Schotten Ulrich, Kirchhof Paulus
Аннотация
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.