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Presentation transcript:

Published today - Advanced Access European Heart Journal

Classification of Atrial Fibrillation Paroxysmal (usually <48 h)

Time Course and Management of AF

Important Elements of the History

Symptom Scores

Diagnosis / Follow-up Class I Recommendations

Principles of Management

CHA 2 DS 2 -VASc

CHA 2 DS 2 -VASc Thromboembolic Risk Score

Selected OAC Recommendations

Bleeding Risk – HAS-BLED Score

Rate and Rhythm Control

Optimal Rate Control

Optimal Rate Control

Choice of Rate Control Medication

Antiarrhythmic Medication for Rhythm Control

Antiarrhythmic Medication for Rhythm Control

Antiarrhythmic Medication for Rhythm Control

Choice of AAD - Underlying Pathology

Catheter Ablation for Atrial Fibrillation

Indication for LA Catheter Ablation

Ablation when SHD is Present

“Upstream” Therapy Primary Prevention ACE inhibitors, Angiotensin receptor blockers, Aldosterone antagonists Statins, PUFAs Agents Considered:

“Upstream” Therapy – Secondary Prevention

Atrial Fibrillation in Athletes

European Heart Rhythm Association (EHRA); Endorsed by the European Association for Cardio-Thoracic Surgery (EACTS)