Institute of Cardiovascular Sciences, University of Birmingham, B15 2TT Birmingham, UK.
Department of Cardiovascular Medicine, University Hospital Münster, Münster, Germany.
Europace. 2018 Mar 1;20(3):395-407. doi: 10.1093/europace/eux318.
There are major challenges ahead for clinicians treating patients with atrial fibrillation (AF). The population with AF is expected to expand considerably and yet, apart from anticoagulation, therapies used in AF have not been shown to consistently impact on mortality or reduce adverse cardiovascular events. New approaches to AF management, including the use of novel technologies and structured, integrated care, have the potential to enhance clinical phenotyping or result in better treatment selection and stratified therapy. Here, we report the outcomes of the 6th Consensus Conference of the Atrial Fibrillation Network (AFNET) and the European Heart Rhythm Association (EHRA), held at the European Society of Cardiology Heart House in Sophia Antipolis, France, 17-19 January 2017. Sixty-two global specialists in AF and 13 industry partners met to develop innovative solutions based on new approaches to screening and diagnosis, enhancing integration of AF care, developing clinical pathways for treating complex patients, improving stroke prevention strategies, and better patient selection for heart rate and rhythm control. Ultimately, these approaches can lead to better outcomes for patients with AF.
治疗心房颤动 (AF) 患者的临床医生面临着重大挑战。预计 AF 患者人数将大幅增加,但除了抗凝治疗外,AF 中使用的治疗方法并未显示能持续影响死亡率或减少不良心血管事件。AF 管理的新方法,包括使用新型技术和结构化、综合护理,有可能增强临床表型,或导致更好的治疗选择和分层治疗。在这里,我们报告了 2017 年 1 月 17 日至 19 日在法国索菲亚安提波利斯欧洲心脏病学会心脏之家举行的心房颤动网络 (AFNET) 和欧洲心律协会 (EHRA) 第六次共识会议的结果。62 名全球 AF 专家和 13 家行业合作伙伴齐聚一堂,根据筛查和诊断的新方法制定创新解决方案,加强 AF 护理的整合,为治疗复杂患者制定临床路径,改进卒中预防策略,并更好地选择患者进行心率和节律控制。最终,这些方法可以为 AF 患者带来更好的结果。