Management of asymptomatic arrhythmias: a European Heart Rhythm Association (EHRA) consensus document, endorsed by the Heart Failure Association (HFA), Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), Cardiac Arrhythmia Society of Southern Africa (CASSA), and Latin America Heart Rhythm Society (LAHRS)

Author:

Arnar David O1,Mairesse Georges H2,Boriani Giuseppe3,Calkins Hugh4,Chin Ashley5,Coats Andrew6,Deharo Jean-Claude7,Svendsen Jesper Hastrup89,Heidbüchel Hein10,Isa Rodrigo11,Kalman Jonathan M1213,Lane Deirdre A1415,Louw Ruan16,Lip Gregory Y H1415,Maury Philippe17,Potpara Tatjana18,Sacher Frederic19,Sanders Prashanthan20,Varma Niraj21,Fauchier Laurent22,Haugaa Kristina2324,Schwartz Peter25,Sarkozy Andrea26,Sharma Sanjay27,Kongsgård Erik28,Svensson Anneli29,Lenarczyk Radoslaw30,Volterrani Maurizio31,Turakhia Mintu32,Obel Isreal W P33,Abello Mauricio34,Swampillai Janice35,Kalarus Zbigniew3637,Kudaiberdieva Gulmira38,Traykov Vassil B39,Dagres Nikolaos,Boveda Serge,Vernooy Kevin,Kalarus Zbigniew,Kudaiberdieva Gulmira,Mairesse Georges H,Kutyifa Valentina,Deneke Thomas,Hastrup Svendsen Jesper,Traykov Vassil B,Wilde Arthur,Heinzel Frank R, ,

Affiliation:

1. Department of Medicine, Landspitali - The National University Hospital of Iceland and University of Iceland, Reykjavik, Iceland

2. Department of Cardiology, Cliniques du Sud-Luxembourg, Arlon, Belgium

3. Division of Cardiology, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, Policlinico di Modena, Modena, Italy

4. Department of Arrhythmia Services, Johns Hopkins Medical Institutions Baltimore, MD, USA

5. Division of Cardiology, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, South Africa

6. Department of Cardiology, University of Warwick, Warwickshire, UK

7. Department of Rhythmology, Hôpital Universitaire La Timone, Marseille, France

8. Department of Cardiology, The Heart Centre, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark

9. Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark

10. Antwerp University Hospital, University of Antwerp, Edegem, Belgium

11. Clínica RedSalud Vitacura and Hospital el Carmen de Maipú, Santiago, Chile

12. Department of Cardiology, Royal Melbourne Hospital, Melbourne, VIC, Australia

13. Department of Medicine, University of Melbourne, Melbourne, VIC, Australia

14. Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Heart & Chest Hospital, Liverpool, UK

15. Aalborg Thrombosis Research Unit, Aalborg University, Aalborg, Denmark

16. Department Cardiology (Electrophysiology), Mediclinic Midstream Hospital, Centurion, South Africa

17. Cardiology, University Hospital Rangueil, Toulouse, France

18. Cardiology Clinic, Clinical Center of Serbia, School of Medicine, University of Belgrade, Serbia

19. Service de Cardiologie, Institut Lyric, CHU de Bordeaux, Bordeaux, France

20. Centre for Heart Rhythm Disorders, South Australian Health and Medical Research Institute, University of Adelaide and Royal Adelaide Hospital, Adelaide, South Australia, Australia

21. Department of Cardiovascular Medicine, Cleveland Clinic, Cleveland, OH, USA

22. Service de Cardiologie et Laboratoire d'Electrophysiologie Cardiaque, Centre Hospitalier Universitaire Trousseau et Université François Rabelais, Tours, France

23. Department of Cardiology, Center for Cardiological Innovation and Institute for Surgical Research, Oslo University Hospital, Oslo, Norway

24. Institute of Clinical Medicine, University of Oslo, Oslo, Norway

25. Istituto Auxologico Italiano, IRCCS, Center for Cardiac Arrhythmias of Genetic Origin, Milan, Italy

26. Heart Rhythm Management Centre, UZ Brussel-VUB, Brussels, Belgium

27. St. George's, University of London, UK

28. Department of Cardiology, OUS-Rikshospitalet, Oslo, Norway

29. Department of Cardiology, University Hospital of Linkoping, Sweden

30. Silesian Center for Heart Disease, Zabrze, Poland

31. IRCCS San Raffaele Pisana, Roma, Italy

32. Stanford University, Cardiac Arrhythmia & Electrophysiology Service, Stanford, USA

33. Parktown West, 2006, Johannesburg, Gauteng, South Africa

34. Sanatorio Finochietto, Buenos Aires, Argentina

35. Electrophysiologist & Cardiologist, Waikato Hospital, University of Auckland, New Zealand

36. SMDZ in Zabrze, Medical University of Silesia, Katowice, Poland

37. Department of Cardiology, Silesian Center for Heart Diseases, Zabrze

38. Adana, Turkey

39. Department of Invasive Electrophysiology and Cardiac Pacing, Clinic of Cardiology, Acibadem City Clinic Tokuda Hospital, Sofia, Bulgaria

Abstract

AbstractAsymptomatic arrhythmias are frequently encountered in clinical practice. Although studies specifically dedicated to these asymptomatic arrhythmias are lacking, many arrhythmias still require proper diagnostic and prognostic evaluation and treatment to avoid severe consequences, such as stroke or systemic emboli, heart failure, or sudden cardiac death. The present document reviews the evidence, where available, and attempts to reach a consensus, where evidence is insufficient or conflicting.

Funder

National Health and Medical Research Council of Australia Practitioner Fellowship

Practitioner Fellowship from National Health and Medical Research Council of Australia

National Heart Foundation of Australia

Publisher

Oxford University Press (OUP)

Subject

Physiology (medical),Cardiology and Cardiovascular Medicine

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