A roadmap to improve the quality of atrial fibrillation management: proceedings from the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference

Paulus Kirchhof; Guenter Breithardt; Jeroen Bax; Gerlinde Benninger; Carina Blomstrom-Lundqvist; Giuseppe Boriani; Axel Brandes; Helen Brown; Martina Brueckmann; Hugh Calkins; Melanie Calvert; Vincent Christoffels; Harry Crijns; Dobromir Dobrev; Patrick Ellinor; Larissa Fabritz; Thomas Fetsch; S. Ben Freedman; Andrea Gerth; Andreas Goette; Eduard Guasch; Guido Hack; Laurent Haegeli; Stephane Hatem; Karl Georg Haeusler; Hein Heidbuechel; Jutta Heinrich-Nols; Francoise Hidden-Lucet; Gerd Hindricks; Steen Juul-Moeller; Stefan Kaeaeb; Lukas Kappenberger; Stefanie Kespohl; Dipak Kotecha; Deirdre A. Lane; Angelika Leute; Thorsten Lewalter; Ralf Meyer; Lluis Mont; Felix Muenzel; Michael Nabauer; Jens C. Nielsen; Michael Oeff; Jonas Oldgren; Ali Oto; Jonathan P. Piccini; Art Pilmeyer; Tatjana Potpara; Ursula Ravens; Holger Reinecke; Thomas Rostock; Joerg Rustige; Irene Savelieva; Renate Schnabel; Ulrich Schotten; Lars Schwichtenberg; Moritz F. Sinner; Gerhard Steinbeck; Monika Stoll; Luigi Tavazzi; Sakis Themistoclakis; Hung Fat Tse; Isabelle C. Van Gelder; Panagiotis E. Vardas; Timo Varpula; Alphons Vincent; David Werring; Stephan Willems; Andre Ziegler; Gregory Y. H. Lip; A. John Camm

doi:10.1093/europace/euv304

A roadmap to improve the quality of atrial fibrillation management: proceedings from the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference

Paulus Kirchhof^*, Guenter Breithardt, Jeroen Bax, Gerlinde Benninger, Carina Blomstrom-Lundqvist, Giuseppe Boriani, Axel Brandes, Helen Brown, Martina Brueckmann, Hugh Calkins, Melanie Calvert, Vincent Christoffels, Harry Crijns, Dobromir Dobrev, Patrick Ellinor, Larissa Fabritz, Thomas Fetsch, S. Ben Freedman, Andrea Gerth, Andreas GoetteEduard Guasch, Guido Hack, Laurent Haegeli, Stephane Hatem, Karl Georg Haeusler, Hein Heidbuechel, Jutta Heinrich-Nols, Francoise Hidden-Lucet, Gerd Hindricks, Steen Juul-Moeller, Stefan Kaeaeb, Lukas Kappenberger, Stefanie Kespohl, Dipak Kotecha, Deirdre A. Lane, Angelika Leute, Thorsten Lewalter, Ralf Meyer, Lluis Mont, Felix Muenzel, Michael Nabauer, Jens C. Nielsen, Michael Oeff, Jonas Oldgren, Ali Oto, Jonathan P. Piccini, Art Pilmeyer, Tatjana Potpara, Ursula Ravens, Holger Reinecke, Thomas Rostock, Joerg Rustige, Irene Savelieva, Renate Schnabel, Ulrich Schotten, Lars Schwichtenberg, Moritz F. Sinner, Gerhard Steinbeck, Monika Stoll, Luigi Tavazzi, Sakis Themistoclakis, Hung Fat Tse, Isabelle C. Van Gelder, Panagiotis E. Vardas, Timo Varpula, Alphons Vincent, David Werring, Stephan Willems, Andre Ziegler, Gregory Y. H. Lip, A. John Camm

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

At least 30 million people worldwide carry a diagnosis of atrial fibrillation (AF), and many more suffer from undiagnosed, subclinical, or 'silent' AF. Atrial fibrillation-related cardiovascular mortality and morbidity, including cardiovascular deaths, heart failure, stroke, and hospitalizations, remain unacceptably high, even when evidence-based therapies such as anticoagulation and rate control are used. Furthermore, it is still necessary to define how best to prevent AF, largely due to a lack of clinical measures that would allow identification of treatable causes of AF in any given patient. Hence, there are important unmet clinical and research needs in the evaluation and management of AF patients. The ensuing needs and opportunities for improving the quality of AF care were discussed during the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference in Nice, France, on 22 and 23 January 2015. Here, we report the outcome of this conference, with a focus on (i) learning from our 'neighbours' to improve AF care, (ii) patient-centred approaches to AF management, (iii) structured care of AF patients, (iv) improving the quality of AF treatment, and (v) personalization of AF management. This report ends with a list of priorities for research in AF patients.

Original language	English
Pages (from-to)	37-50
Journal	EP Europace
Volume	18
Issue number	1
DOIs	https://doi.org/10.1093/europace/euv304
Publication status	Published - 1 Jan 2016

Keywords

Atrial fibrillation
Outcomes
Quality of care
Research
Rate control
Antiarrhythmic drugs
Catheter ablation
Anticoagulation
Cardiovascular risk
Bleeding
Research priorities

Access to Document

10.1093/europace/euv304

Cite this

Kirchhof, P., Breithardt, G., Bax, J., Benninger, G., Blomstrom-Lundqvist, C., Boriani, G., Brandes, A., Brown, H., Brueckmann, M., Calkins, H., Calvert, M., Christoffels, V., Crijns, H., Dobrev, D., Ellinor, P., Fabritz, L., Fetsch, T., Freedman, S. B., Gerth, A., ... Camm, A. J. (2016). A roadmap to improve the quality of atrial fibrillation management: proceedings from the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference. EP Europace, 18(1), 37-50. https://doi.org/10.1093/europace/euv304

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title = "A roadmap to improve the quality of atrial fibrillation management: proceedings from the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference",

abstract = "At least 30 million people worldwide carry a diagnosis of atrial fibrillation (AF), and many more suffer from undiagnosed, subclinical, or 'silent' AF. Atrial fibrillation-related cardiovascular mortality and morbidity, including cardiovascular deaths, heart failure, stroke, and hospitalizations, remain unacceptably high, even when evidence-based therapies such as anticoagulation and rate control are used. Furthermore, it is still necessary to define how best to prevent AF, largely due to a lack of clinical measures that would allow identification of treatable causes of AF in any given patient. Hence, there are important unmet clinical and research needs in the evaluation and management of AF patients. The ensuing needs and opportunities for improving the quality of AF care were discussed during the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference in Nice, France, on 22 and 23 January 2015. Here, we report the outcome of this conference, with a focus on (i) learning from our 'neighbours' to improve AF care, (ii) patient-centred approaches to AF management, (iii) structured care of AF patients, (iv) improving the quality of AF treatment, and (v) personalization of AF management. This report ends with a list of priorities for research in AF patients.",

keywords = "Atrial fibrillation, Outcomes, Quality of care, Research, Rate control, Antiarrhythmic drugs, Catheter ablation, Anticoagulation, Cardiovascular risk, Bleeding, Research priorities",

author = "Paulus Kirchhof and Guenter Breithardt and Jeroen Bax and Gerlinde Benninger and Carina Blomstrom-Lundqvist and Giuseppe Boriani and Axel Brandes and Helen Brown and Martina Brueckmann and Hugh Calkins and Melanie Calvert and Vincent Christoffels and Harry Crijns and Dobromir Dobrev and Patrick Ellinor and Larissa Fabritz and Thomas Fetsch and Freedman, {S. Ben} and Andrea Gerth and Andreas Goette and Eduard Guasch and Guido Hack and Laurent Haegeli and Stephane Hatem and Haeusler, {Karl Georg} and Hein Heidbuechel and Jutta Heinrich-Nols and Francoise Hidden-Lucet and Gerd Hindricks and Steen Juul-Moeller and Stefan Kaeaeb and Lukas Kappenberger and Stefanie Kespohl and Dipak Kotecha and Lane, {Deirdre A.} and Angelika Leute and Thorsten Lewalter and Ralf Meyer and Lluis Mont and Felix Muenzel and Michael Nabauer and Nielsen, {Jens C.} and Michael Oeff and Jonas Oldgren and Ali Oto and Piccini, {Jonathan P.} and Art Pilmeyer and Tatjana Potpara and Ursula Ravens and Holger Reinecke and Thomas Rostock and Joerg Rustige and Irene Savelieva and Renate Schnabel and Ulrich Schotten and Lars Schwichtenberg and Sinner, {Moritz F.} and Gerhard Steinbeck and Monika Stoll and Luigi Tavazzi and Sakis Themistoclakis and Tse, {Hung Fat} and {Van Gelder}, {Isabelle C.} and Vardas, {Panagiotis E.} and Timo Varpula and Alphons Vincent and David Werring and Stephan Willems and Andre Ziegler and Lip, {Gregory Y. H.} and Camm, {A. John}",

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Kirchhof, P, Breithardt, G, Bax, J, Benninger, G, Blomstrom-Lundqvist, C, Boriani, G, Brandes, A, Brown, H, Brueckmann, M, Calkins, H, Calvert, M, Christoffels, V, Crijns, H, Dobrev, D, Ellinor, P, Fabritz, L, Fetsch, T, Freedman, SB, Gerth, A, Goette, A, Guasch, E, Hack, G, Haegeli, L, Hatem, S, Haeusler, KG, Heidbuechel, H, Heinrich-Nols, J, Hidden-Lucet, F, Hindricks, G, Juul-Moeller, S, Kaeaeb, S, Kappenberger, L, Kespohl, S, Kotecha, D, Lane, DA, Leute, A, Lewalter, T, Meyer, R, Mont, L, Muenzel, F, Nabauer, M, Nielsen, JC, Oeff, M, Oldgren, J, Oto, A, Piccini, JP, Pilmeyer, A, Potpara, T, Ravens, U, Reinecke, H, Rostock, T, Rustige, J, Savelieva, I, Schnabel, R, Schotten, U, Schwichtenberg, L, Sinner, MF, Steinbeck, G, Stoll, M, Tavazzi, L, Themistoclakis, S, Tse, HF, Van Gelder, IC, Vardas, PE, Varpula, T, Vincent, A, Werring, D, Willems, S, Ziegler, A, Lip, GYH & Camm, AJ 2016, 'A roadmap to improve the quality of atrial fibrillation management: proceedings from the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference', EP Europace, vol. 18, no. 1, pp. 37-50. https://doi.org/10.1093/europace/euv304

A roadmap to improve the quality of atrial fibrillation management: proceedings from the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference. / Kirchhof, Paulus; Breithardt, Guenter; Bax, Jeroen et al.
In: EP Europace, Vol. 18, No. 1, 01.01.2016, p. 37-50.

Research output: Contribution to journal › Article › Academic › peer-review

TY - JOUR

T1 - A roadmap to improve the quality of atrial fibrillation management: proceedings from the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference

AU - Kirchhof, Paulus

AU - Breithardt, Guenter

AU - Bax, Jeroen

AU - Benninger, Gerlinde

AU - Blomstrom-Lundqvist, Carina

AU - Boriani, Giuseppe

AU - Brandes, Axel

AU - Brown, Helen

AU - Brueckmann, Martina

AU - Calkins, Hugh

AU - Calvert, Melanie

AU - Christoffels, Vincent

AU - Crijns, Harry

AU - Dobrev, Dobromir

AU - Ellinor, Patrick

AU - Fabritz, Larissa

AU - Fetsch, Thomas

AU - Freedman, S. Ben

AU - Gerth, Andrea

AU - Goette, Andreas

AU - Guasch, Eduard

AU - Hack, Guido

AU - Haegeli, Laurent

AU - Hatem, Stephane

AU - Haeusler, Karl Georg

AU - Heidbuechel, Hein

AU - Heinrich-Nols, Jutta

AU - Hidden-Lucet, Francoise

AU - Hindricks, Gerd

AU - Juul-Moeller, Steen

AU - Kaeaeb, Stefan

AU - Kappenberger, Lukas

AU - Kespohl, Stefanie

AU - Kotecha, Dipak

AU - Lane, Deirdre A.

AU - Leute, Angelika

AU - Lewalter, Thorsten

AU - Meyer, Ralf

AU - Mont, Lluis

AU - Muenzel, Felix

AU - Nabauer, Michael

AU - Nielsen, Jens C.

AU - Oeff, Michael

AU - Oldgren, Jonas

AU - Oto, Ali

AU - Piccini, Jonathan P.

AU - Pilmeyer, Art

AU - Potpara, Tatjana

AU - Ravens, Ursula

AU - Reinecke, Holger

AU - Rostock, Thomas

AU - Rustige, Joerg

AU - Savelieva, Irene

AU - Schnabel, Renate

AU - Schotten, Ulrich

AU - Schwichtenberg, Lars

AU - Sinner, Moritz F.

AU - Steinbeck, Gerhard

AU - Stoll, Monika

AU - Tavazzi, Luigi

AU - Themistoclakis, Sakis

AU - Tse, Hung Fat

AU - Van Gelder, Isabelle C.

AU - Vardas, Panagiotis E.

AU - Varpula, Timo

AU - Vincent, Alphons

AU - Werring, David

AU - Willems, Stephan

AU - Ziegler, Andre

AU - Lip, Gregory Y. H.

AU - Camm, A. John

PY - 2016/1/1

Y1 - 2016/1/1

N2 - At least 30 million people worldwide carry a diagnosis of atrial fibrillation (AF), and many more suffer from undiagnosed, subclinical, or 'silent' AF. Atrial fibrillation-related cardiovascular mortality and morbidity, including cardiovascular deaths, heart failure, stroke, and hospitalizations, remain unacceptably high, even when evidence-based therapies such as anticoagulation and rate control are used. Furthermore, it is still necessary to define how best to prevent AF, largely due to a lack of clinical measures that would allow identification of treatable causes of AF in any given patient. Hence, there are important unmet clinical and research needs in the evaluation and management of AF patients. The ensuing needs and opportunities for improving the quality of AF care were discussed during the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference in Nice, France, on 22 and 23 January 2015. Here, we report the outcome of this conference, with a focus on (i) learning from our 'neighbours' to improve AF care, (ii) patient-centred approaches to AF management, (iii) structured care of AF patients, (iv) improving the quality of AF treatment, and (v) personalization of AF management. This report ends with a list of priorities for research in AF patients.

AB - At least 30 million people worldwide carry a diagnosis of atrial fibrillation (AF), and many more suffer from undiagnosed, subclinical, or 'silent' AF. Atrial fibrillation-related cardiovascular mortality and morbidity, including cardiovascular deaths, heart failure, stroke, and hospitalizations, remain unacceptably high, even when evidence-based therapies such as anticoagulation and rate control are used. Furthermore, it is still necessary to define how best to prevent AF, largely due to a lack of clinical measures that would allow identification of treatable causes of AF in any given patient. Hence, there are important unmet clinical and research needs in the evaluation and management of AF patients. The ensuing needs and opportunities for improving the quality of AF care were discussed during the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference in Nice, France, on 22 and 23 January 2015. Here, we report the outcome of this conference, with a focus on (i) learning from our 'neighbours' to improve AF care, (ii) patient-centred approaches to AF management, (iii) structured care of AF patients, (iv) improving the quality of AF treatment, and (v) personalization of AF management. This report ends with a list of priorities for research in AF patients.

KW - Atrial fibrillation

KW - Outcomes

KW - Quality of care

KW - Research

KW - Rate control

KW - Antiarrhythmic drugs

KW - Catheter ablation

KW - Anticoagulation

KW - Cardiovascular risk

KW - Bleeding

KW - Research priorities

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DO - 10.1093/europace/euv304

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C2 - 26481149

SN - 1099-5129

VL - 18

SP - 37

EP - 50

JO - EP Europace

JF - EP Europace

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ER -