EHRA White Paper: knowledge gaps in arrhythmia management-status 2019

被引：38

作者：

Goette, Andreas ^{[1
,2
]}

Auricchio, Angelo ^{[3
]}

Boriani, Giuseppe ^{[4
]}

Braunschweig, Frieder ^{[5
]}

Brugada Terradellas, Josep ^{[6
]}

Burri, Haran ^{[7
]}

Camm, A. John ^{[8
]}

Crijns, Harry ^{[9
,10
]}

Dagres, Nikolaos ^{[11
]}

Deharo, Jean-Claude ^{[12
]}

Dobrev, Dobromir ^{[13
]}

Hatala, Robert ^{[14
]}

Hindricks, Gerhard ^{[11
]}

Hohnloser, Stefan H. ^{[15
]}

Leclercq, Christophe ^{[16
]}

Lewalter, Thorsten ^{[17
,18
]}

Lip, Gregory Y. H. ^{[19
,20
,21
]}

Luis Merino, Jose ^{[22
]}

Mont, Lluis ^{[6
]}

Prinzen, Frits ^{[23
]}

Proclemer, Alessandro ^{[24
]}

Puererfellner, Helmut ^{[25
]}

Savelieva, Irina ^{[8
]}

Schilling, Richard ^{[26
]}

Steffel, Jan ^{[27
]}

van Gelder, Isabelle C. ^{[28
]}

Zeppenfeld, Katja ^{[29
]}

Zupan, Igor ^{[30
]}

Heidbuchel, Hein ^{[31
,32
]}

Boveda, Serge ^{[33
]}

Defaye, Pascal ^{[34
]}

Brignole, Michele ^{[35
]}

Chun, Jongi ^{[36
]}

Guerra Ramos, Jose M. ^{[37
]}

Fauchier, Laurent ^{[38
,39
]}

Svendsen, Jesper Hastrup ^{[40
,41
]}

Traykov, Vassil B. ^{[42
]}

Heinzel, Frank R. ^{[43
]}

机构：

[1] St Vincenz Krankenhaus GmbH, Cardiol & Intens Care Med, Busdorf 2, D-33098 Paderborn, Germany

[2] Univ Hosp Magdeburg, Working Grp Mol Electrophysiol, Magdeburg, Germany

[3] Fdn Cardioctr Ticino, Dept Cardiol, Lugano, Ticino, Switzerland

[4] Univ Modena & Reggio Emilia, Div Cardiol, Dept Biomed Metab & Neural Sci, Policlin Modena, Modena, Italy

[5] Karolinska Univ Hosp, Dept Cardiol, Stockholm, Sweden

[6] Univ Barcelona, Hosp Clin, Dept Cardiol, Barcelona, Spain

[7] Univ Hosp Geneva, Dept Cardiol, Geneva, Switzerland

[8] St Georges Univ London, Mol & Clin Sci Res Inst, London, England

[9] Maastricht UMC, Dept Cardiol, Maastricht, Netherlands

[10] Maastricht UMC, Cardiovasc Res Inst Maastricht CARIM, Maastricht, Netherlands

[11] Univ Leipzig, Heart Ctr Leipzig, Dept Electrophysiol, Leipzig, Germany

[12] Aix Marseille Univ, Dept Cardiol, CHU Timone, Marseille, France

[13] Univ Duisburg Essen, Inst Pharmacol, Essen, Germany

[14] NUSCH, Natl Cardiovasc Inst, Dept Cardiol & Angiol, Bratislava, Slovakia

[15] Goethe Univ Frankfurt, Dept Cardiol, Div Clin Electrophysiol, Frankfurt, Germany

[16] Univ Rennes, CHU Rennes, LTSI, UMR1099, Rennes, France

[17] Hosp Internal Med Munich South, Dept Cardiol & Intens Care, Munich, Germany

[18] Univ Bonn, Dept Cardiol, Bonn, Germany

[19] Univ Liverpool, Liverpool Ctr Cardiovasc Sci, Liverpool, Merseyside, England

[20] Liverpool Heart & Chest Hosp, Liverpool, Merseyside, England

[21] Aalborg Univ, Dept Clin Med, Aalborg Thrombosis Res Unit, Aalborg, Denmark

[22] Hosp Univ La Paz, Arrhythmia & Robot EP Unit, Madrid, Spain

[23] Maastricht Univ, Dept Physiol, Maastricht, Netherlands

[24] Univ Hosp Udine, Div Cardiol, Udine, Italy

[25] Acad Teaching Hosp, Ordensklinikum Linz Elisabethinen, Dept Cardiol, Linz, Austria

[26] Barts & London NHS Trust, Barts Heart Ctr, London, England

[27] Univ Heart Ctr Zurich, Zurich, Switzerland

[28] Univ Groningen, Univ Med Ctr Groningen, Dept Cardiol, Groningen, Netherlands

[29] Lumc, Dept Cardiol, Leiden, Netherlands

[30] Univ Clin Ctr Ljubljana, Dept Cardiol, Ljubljana, Slovenia

[31] Antwerp Univ, Antwerp, Belgium

[32] Antwerp Univ Hosp, Antwerp, Belgium

[33] Clin Pasteur, Dept Cardiol, F-31076 Toulouse, France

[34] CHU Hop Albert Michalon, Unite Rythmol, Serv Cardiol, FR-38043 Grenoble 09, France

[35] Osped Tigullio, Dept Cardiol, Via Don Bobbio 25, IT-16033 Lavagna, GE, Italy

[36] Markuskrankenhaus, CCB, Dept Cardiol, Med Klin 3, Wilhelm Epstein Str 4, DE-60431 Frankfurt, Germany

[37] Hosp Santa Creu & Sant Pau, Unitat Aritmies, Barcelona, Spain

[38] Ctr Hosp Univ Trousseau, Serv Cardiol, Tours, France

[39] Univ Tours, Fac Med, Tours, France

[40] Copenhagen Univ Hosp, Ctr Heart, Dept Cardiol, Rigshosp, Copenhagen, Denmark

[41] Univ Copenhagen, Fac Hlth & Med Sci, Dept Clin Med, Copenhagen, Denmark

[42] Acibadem City Clin Tokuda Hosp, Clin Cardiol, Dept Invas Electrophysiol & Cardiac Pacing, Sofia, Bulgaria

[43] Charite, Campus Virchow Klinikum, D-13353 Berlin, Germany

来源：

EUROPACE | 2019年 / 21卷 / 07期

关键词：

European Heart Rhythm Association; White Paper; Arrhythmia; Fibrillation; Tachycardia; Heart failure; CARDIAC-RESYNCHRONIZATION THERAPY; IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR; PERSISTENT ATRIAL-FIBRILLATION; ATRIOVENTRICULAR NODE ABLATION; EXPERT CONSENSUS STATEMENT; VENTRICULAR-TACHYCARDIA ABLATION; AIAC ITALIAN ASSOCIATION; PULMONARY VEIN ISOLATION; RHYTHM SOCIETY HRS; CATHETER ABLATION;

D O I：

10.1093/europace/euz055

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Clinicians accept that there are many unknowns when we make diagnostic and therapeutic decisions. Acceptance of uncertainty is essential for the pursuit of the profession: bedside decisions must often be made on the basis of incomplete evidence. Over the years, physicians sometimes even do not realize anymore which the fundamental gaps in our knowledge are. As clinical scientists, however, we have to halt and consider what we do not know yet, and how we can move forward addressing those unknowns. The European Heart Rhythm Association (EHRA) believes that scanning the field of arrhythmia / cardiac electrophysiology to identify knowledge gaps which are not yet the subject of organized research, should be undertaken on a regular basis. Such a review (White Paper) should concentrate on research which is feasible, realistic, and clinically relevant, and should not deal with futuristic aspirations. It fits with the EHRA mission that these White Papers should be shared on a global basis in order to foster collaborative and needed research which will ultimately lead to better care for our patients. The present EHRA White Paper summarizes knowledge gaps in the management of atrial fibrillation, ventricular tachycardia/sudden death and heart failure.

引用

页码：993 / +

页数：28

共 248 条

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