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oai:repisalud.isciii.es:20.500.12105/199132024-09-27T08:38:06Zcom_20.500.12105_19604com_20.500.12105_2051col_20.500.12105_19605

00925njm 22002777a 4500 dc Linz, Dominik author Andrade, Jason G author Arbelo, Elena author Boriani, Giuseppe author Breithardt, Guenter author Camm, A John author Caso, Valeria author Nielsen, Jens Cosedis author De Melis, Mirko author De Potter, Tom author Dichtl, Wolfgang author Diederichsen, Søren Zoega author Dobrev, Dobromir author Doll, Nicolas author Duncker, David author Dworatzek, Elke author Eckardt, Lars author Eisert, Christoph author Fabritz, Larissa author Farkowski, Michal author Filgueiras-Rama, David author Goette, Andreas author Guasch, Eduard author Hack, Guido author Hatem, Stéphane author Haeusler, Karl Georg author Healey, Jeff S author Heidbuechel, Hein author Hijazi, Ziad author Hofmeister, Lucas H author Hove-Madsen, Leif author Huebner, Thomas author Kääb, Stefan author Kotecha, Dipak author Malaczynska-Rajpold, Katarzyna author Merino, José Luis author Metzner, Andreas author Mont, Lluís author Ng, Ghulam Andre author Oeff, Michael author Parwani, Abdul Shokor author Puererfellner, Helmut author Ravens, Ursula author Rienstra, Michiel author Sanders, Prashanthan author Scherr, Daniel author Schnabel, Renate author Schotten, Ulrich author Sohns, Christian author Steinbeck, Gerhard author Steven, Daniel author Toennis, Tobias author Tzeis, Stylianos author van Gelder, Isabelle C author van Leerdam, Roderick H author Vernooy, Kevin author Wadhwa, Manish author Wakili, Reza author Willems, Stephan author Witt, Henning author Zeemering, Stef author Kirchhof, Paulus author 2024-03-30 AIMS Recent trial data demonstrate beneficial effects of active rhythm management in patients with atrial fibrillation (AF) and support the concept that a low arrhythmia burden is associated with a low risk of AF-related complications. The aim of this document is to summarize the key outcomes of the 9th AFNET/EHRA Consensus Conference of the Atrial Fibrillation NETwork (AFNET) and the European Heart Rhythm Association (EHRA). METHODS AND RESULTS Eighty-three international experts met in Münster for 2 days in September 2023. Key findings are as follows: (i) Active rhythm management should be part of the default initial treatment for all suitable patients with AF. (ii) Patients with device-detected AF have a low burden of AF and a low risk of stroke. Anticoagulation prevents some strokes and also increases major but non-lethal bleeding. (iii) More research is needed to improve stroke risk prediction in patients with AF, especially in those with a low AF burden. Biomolecules, genetics, and imaging can support this. (iv) The presence of AF should trigger systematic workup and comprehensive treatment of concomitant cardiovascular conditions. (v) Machine learning algorithms have been used to improve detection or likely development of AF. Cooperation between clinicians and data scientists is needed to leverage the potential of data science applications for patients with AF. CONCLUSIONS Patients with AF and a low arrhythmia burden have a lower risk of stroke and other cardiovascular events than those with a high arrhythmia burden. Combining active rhythm control, anticoagulation, rate control, and therapy of concomitant cardiovascular conditions can improve the lives of patients with AF. Europace. 2024 Mar 30;26(4):euae070. 10.1093/europace/euae070 1532-2092 Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology 38591838 http://hdl.handle.net/20.500.12105/19913 Longer and better lives for patients with atrial fibrillation: the 9th AFNET/EHRA consensus conference.