Journal ArticleDOI
Rate and rhythm control have comparable effects on mortality and stroke in atrial fibrillation but better data are needed.
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A systematic review and meta-analysis of tabular data addresses the benefits and risks of adding rhythm control to rate control therapy, and considers the preferential method.Abstract:
Commentary on : Al-Khatib SM, Allen LaPointe NM, Chatterjee R, et al. Rate- and rhythm-control therapies in patients with atrial fibrillation: a systematic review. Ann Intern Med 2014;160:760–73.[OpenUrl][1][CrossRef][2][PubMed][3][Web of Science][4]
Atrial fibrillation (AF) represents a large and growing burden on cardiovascular healthcare and leads to a substantial impact on quality-of-life, increased cardiovascular events and a doubling of hospitalisation and death rates.1 Unlike many other cardiac conditions, the evidence base for treatment in AF remains patchy with clear gaps relating to a number of clinically important management strategies. Current practice involves three major elements: anticoagulation to prevent stroke or systemic embolism, medications to control heart rate and a decision on whether to restore and maintain sinus rhythm. This systematic review and meta-analysis of tabular data addresses the benefits and risks of adding rhythm control to rate control therapy, considers the preferential method …
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[4]: /lookup/external-ref?access_num=000337348700003&link_type=ISIread more
Citations
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Journal ArticleDOI
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Paulus Kirchhof,Stefano Benussi,Dipak Kotecha,Anders Ahlsson,Dan Atar,Barbara Casadei,Manuel Castellá,Hans-Christoph Diener,Hein Heidbuchel,Jeroen M.L. Hendriks,Gerhard Hindricks,Antonis S. Manolis,Jonas Oldgren,Bogdan A. Popescu,Ulrich Schotten,Bart P. Van Putte,Panagiotis Vardas,Stefan Agewall,John Camm,Gonzalo Barón Esquivias,Werner Budts,Scipione Carerj,Filip Casselman,Antonio Coca,Raffaele De Caterina,Spiridon Deftereos,Dobromir Dobrev,José M. Ferro,Gerasimos Filippatos,Donna Fitzsimons,Bulent Gorenek,Maxine Guenoun,Stefan H. Hohnloser,Philippe Kolh,Gregory Y.H. Lip,Athanasios J. Manolis,John J.V. McMurray,Piotr Ponikowski,Raphael Rosenhek,Frank Ruschitzka,Irina Savelieva,Sanjay Sharma,Piotr Suwalski,Juan Tamargo,Clare J Taylor,Isabelle C. Van Gelder,Adriaan A. Voors,Stephan Windecker,José Luis Zamorano,Katja Zeppenfeld +49 more
TL;DR: The Task Force for the management of atrial fibrillation of the European Society of Cardiology has been endorsed by the European Stroke Organisation (ESO).
Journal ArticleDOI
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS: The Task Force for the management of atrial fibrillation of the European Society of Cardiology (ESC). Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Endorsed by the European Stroke Organisation (ESO)
Journal ArticleDOI
2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS: The Task Force for the management of atrial fibrillation of the European Society of Cardiology (ESC)Developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESCEndorsed by the European Stroke Organisation (ESO)
Paulus Kirchhof,Stefano Benussi,Dipak Kotecha,Anders Ahlsson,Dan Atar,Barbara Casadei,Manuel Castellá,Hans-Christoph Diener,Hein Heidbuchel,Jeroen M.L. Hendriks,Gerhard Hindricks,Antonis S. Manolis,Jonas Oldgren,Bogdan A. Popescu,Ulrich Schotten,Bart P. van Putte,Panagiotis Vardas +16 more
TL;DR: Authors/Task Force Members: Paulus Kirchhof* (Chairperson) (UK/Germany), Stefano Benussi* (Co-Chair person) (Switzerland), Dipak Kotecha (UK), Anders Ahlsson (Sweden), Dan Atar (Norway), Barbara Casadei (UK)
Journal ArticleDOI
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,Günter Breithardt,Jeroen J. Bax,Gerlinde Benninger,Carina Blomström-Lundqvist,Giuseppe Boriani,Axel Brandes,Helen Brown,Martina Brueckmann,Martina Brueckmann,Hugh Calkins,Melanie Calvert,Vincent M. Christoffels,Harry J.G.M. Crijns,Dobromir Dobrev,Patrick T. Ellinor,Larissa Fabritz,Thomas Fetsch,S. Ben Freedman,Andrea Gerth,Andreas Goette,Eduard Guasch,Guido Hack,Laurent M. Haegeli,Stéphane N. Hatem,Karl Georg Haeusler,Hein Heidbuchel,Jutta Heinrich-Nols,Françoise Hidden-Lucet,Gerd Hindricks,Steen Juul-Möller,Stefan Kääb,Lukas Kappenberger,Stefanie Kespohl,Dipak Kotecha,Deirdre A. Lane,Angelika Leute,Thorsten Lewalter,Ralf Meyer,Lluís Mont,Felix Münzel,Michael Nabauer,Jens Cosedis Nielsen,Michael Oeff,Jonas Oldgren,Ali Oto,Jonathan P. Piccini,Art Pilmeyer,Tatjana S. Potpara,Ursula Ravens,Holger Reinecke,Thomas Rostock,Joerg Rustige,Irene Savelieva,Renate B. Schnabel,Ulrich Schotten,Lars Schwichtenberg,Moritz F. Sinner,Gerhard Steinbeck,Monika Stoll,Monika Stoll,Luigi Tavazzi,Sakis Themistoclakis,Hung-Fat Tse,Isabelle C. Van Gelder,Panagiotis Vardas,Timo Varpula,Alphons Vincent,David J. Werring,Stephan Willems,André Ziegler,Gregory Y.H. Lip,A. John Camm +72 more
TL;DR: This report reports the outcome of the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference in Nice, France, with a focus on learning from 'neighbours' to improve AF care, and a list of priorities for research in AF patients.
References
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Journal ArticleDOI
Guidelines for the management of atrial fibrillation The Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC)
A. John Camm,Paulus Kirchhof,Irene Savelieva,Isabelle C. Van Gelder,Gerhard Hindricks,Ottavio Alfieri,Johan De Sutter,Andreas Goette,Stefan H. Hohloser,Piotr Ponikowski,Frans H. Rutten +10 more
TL;DR: Estimates of expected health outcomes for larger societies are included, where data exist, and the level of evidence and the strength of recommendation of particular treatment options are weighed and graded according to pre-defined scales.
Journal ArticleDOI
Guidelines for the management of atrial fibrillation
A. John Camm,Paulus Kirchhof,Gregory Lip,Ulrich Schotten,Irene Savelieva,Sabine Ernst,Isabelle C. Van Gelder,Nawwar Al-Attar,Gerhard Hindricks,Bernard Prendergast,Hein Heidbuchel,Ottavio Alfieri,Annalisa Angelini,Dan Atar,Paolo Colonna,Raffaele De Caterina,Johan De Sutter,Andreas Goette,Bulent Gorenek,Magnus Heldal,Stefan H. Hohloser,Philippe Kolh,Jean-Yves Le Heuzey,Piotr Ponikowski,Frans H. Rutten,Alec Vahanian,Angelo Auricchio,Jeroen J. Bax,Claudio Ceconi,Veronica Dean,Gerasimos Filippatos,Christian Funck-Brentano,Richard Hobbs,Peter Kearney,Theresa McDonagh,Bogdan A. Popescu,Zeljko Reiner,Udo Sechtem,Per Anton Sirnes,Michal Tendera,Panos E. Vardas,Petr Widimsky,Vazha Agladze,Etienne Aliot,Tosho L. Balabanski,Carina Blomström-Lundqvist,Alessandro Capucci,Harry J.G.M. Crijns,Björn Dahlöf,Thierry Folliguet,Michael Glikson,Marnix Goethals,Dietrich C. Gulba,Siew Yen Ho,Robert J.M. Klautz,Sedat Kose,John McMurray,Pasquale Perrone Filardi,Pekka Raatikainen,Maria Jesus Salvador,Martin J. Schalij,Alexander Shpektor,João de Sousa,Janina Stepinska,Hasso Uuetoa,José Luis Zamorano,Igor Zupan +66 more
TL;DR: Guidelines summarize and evaluate all currently available evidence on a particular issue with the aim of assisting physicians in selecting the best management strategy for an individual patient suffering from a given condition, taking into account the impact on outcome, as well as the risk–benefit ratio of particular diagnostic or therapeutic means.
Journal ArticleDOI
Projections on the number of individuals with atrial fibrillation in the European Union, from 2000 to 2060
Bouwe P. Krijthe,Anton E. Kunst,Emelia J. Benjamin,Gregory Y.H. Lip,Oscar H. Franco,Albert Hofman,Jacqueline C.M. Witteman,Bruno H. Stricker,Jan Heeringa +8 more
TL;DR: The number of adults 55 years and over with AF in the European Union will more than double from 2010 to 2060, and this increasing number of individuals with AF may have major public health implications.
Journal ArticleDOI
When can odds ratios mislead
TL;DR: Odds ratios are a common measure of the size of an effect and may be reported in case-control studies, cohort studies, or clinical trials, and are also used to report the findings from systematic reviews and meta-analyses.
Journal ArticleDOI
Treatment of Atrial Fibrillation With Antiarrhythmic Drugs or Radiofrequency Ablation Two Systematic Literature Reviews and Meta-Analyses
Hugh Calkins,Matthew R. Reynolds,Peter S. Spector,Manu Sondhi,Yingxin Xu,Amber Martin,Catherine J. Williams,Isabella Sledge +7 more
TL;DR: In this article, the relative safety and efficacy of radiofrequency catheter ablation (RFA) for atrial fibrillation were evaluated using a randomized clinical trial, and the results showed that RFA is safe and effective.