Atrial fibrillation management: A prospective survey in ESC Member Countries - The Euro Heart Survey on atrial fibrillation

Robby Nieuwlaat; Alessandro Capucci; A. John Camm; S. Bertil Olsson; Dietrich Andresen; D. Wyn Davies; Stuart Cobbe; Günter Breithardt; Jean Yves Le Heuzey; Martin H. Prins; Samuel Lévy; Harry J G M Crijns; Etienne Aliot; Massimo Santini; Panos Vardas; Malika Manini; Claire Bramley; Valérie Laforest; Charles Taylor; Susan Del Gaiso; Kurt Huber; Guy De Backer; Vera Sirakova; Roman Cerbak; Per Thayssen; Seppo Lehto; Jean Jacques Blanc; François Delahaye; Bondo Kobulia; Uwe Zeymer; Dennis Cokkinos; Kristof Karlocai; Ian Graham; Emer Shelley; Shlomo Behar; Aldo Maggioni; Virginija Grabauskiene; Jaap Deckers; Inger Asmussen; Janina Stepinska; Lino Gonçalves; Vyacheslav Mareev; Zorana Vasiljevic; Igor Riecansky; Miran F. Kenda; Angeles Alonso; José Luis Lopez-Sendon; Annika Rosengren; Federico Lombardi; Cesare Fiorentini; Euro Heart Survey Investigators

doi:10.1093/eurheartj/ehi505

Atrial fibrillation management: A prospective survey in ESC Member Countries - The Euro Heart Survey on atrial fibrillation

Robby Nieuwlaat, Alessandro Capucci, A. John Camm, S. Bertil Olsson, Dietrich Andresen, D. Wyn Davies, Stuart Cobbe, Günter Breithardt, Jean Yves Le Heuzey, Martin H. Prins, Samuel Lévy, Harry J G M Crijns, Etienne Aliot, Massimo Santini, Panos Vardas, Malika Manini, Claire Bramley, Valérie Laforest, Charles Taylor, Susan Del GaisoKurt Huber, Guy De Backer, Vera Sirakova, Roman Cerbak, Per Thayssen, Seppo Lehto, Jean Jacques Blanc, François Delahaye, Bondo Kobulia, Uwe Zeymer, Dennis Cokkinos, Kristof Karlocai, Ian Graham, Emer Shelley, Shlomo Behar, Aldo Maggioni, Virginija Grabauskiene, Jaap Deckers, Inger Asmussen, Janina Stepinska, Lino Gonçalves, Vyacheslav Mareev, Zorana Vasiljevic, Igor Riecansky, Miran F. Kenda, Angeles Alonso, José Luis Lopez-Sendon, Annika Rosengren, Federico Lombardi, Cesare Fiorentini, Euro Heart Survey Investigators

Research output: Contribution to journal › Review article › peer-review

Abstract

Aims To describe atrial fibrillation (AF) management in member countries of the European Society of Cardiology (ESC) and to verify cardiology practices against guidelines. Methods and results Among 182 hospitals in 35 countries, 5333 ambulant and hospitalized AF patients were enrolled, in 2003 and 2004. AF was primary or secondary diagnosis, and was confirmed on ECG in the preceding 12 months. Clinical type of AF was reported to be first detected in 978, paroxysmal in 1517, persistent in 1167, and permanent in 1547 patients. Concomitant diseases were present in 90% of all patients, causing risk factors for stroke to be also highly prevalent (86%). As many as 69% of patients were symptomatic at the time of the survey; among asymptomatic patients, 54% were previously experienced symptoms. Oral anticoagulation was prescribed in 67 and 49% of eligible and ineligible patients, respectively. A rhythm control strategy was applied in 67% of currently symptomatic patients and in 44% of patients who never experienced symptoms. Conclusion This survey provides a unique snapshot of current AF management in ESC member countries. Discordance between guidelines and practice was found regarding several issues on stroke prevention and antiarrhythmic therapy.

Original language	English
Pages (from-to)	2422-2434
Number of pages	13
Journal	European Heart Journal
Volume	26
Issue number	22
DOIs	https://doi.org/10.1093/eurheartj/ehi505
Publication status	Published - 2005

Keywords

Anticoagulation
Atrial fibrillation
Guidelines
Heart failure
Rate control
Rhythm control

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

Access to Document

10.1093/eurheartj/ehi505

Cite this

Nieuwlaat, R., Capucci, A., Camm, A. J., Olsson, S. B., Andresen, D., Davies, D. W., Cobbe, S., Breithardt, G., Le Heuzey, J. Y., Prins, M. H., Lévy, S., Crijns, H. J. G. M., Aliot, E., Santini, M., Vardas, P., Manini, M., Bramley, C., Laforest, V., Taylor, C., ... Euro Heart Survey Investigators (2005). Atrial fibrillation management: A prospective survey in ESC Member Countries - The Euro Heart Survey on atrial fibrillation. European Heart Journal, 26(22), 2422-2434. https://doi.org/10.1093/eurheartj/ehi505

Nieuwlaat, R, Capucci, A, Camm, AJ, Olsson, SB, Andresen, D, Davies, DW, Cobbe, S, Breithardt, G, Le Heuzey, JY, Prins, MH, Lévy, S, Crijns, HJGM, Aliot, E, Santini, M, Vardas, P, Manini, M, Bramley, C, Laforest, V, Taylor, C, Del Gaiso, S, Huber, K, De Backer, G, Sirakova, V, Cerbak, R, Thayssen, P, Lehto, S, Blanc, JJ, Delahaye, F, Kobulia, B, Zeymer, U, Cokkinos, D, Karlocai, K, Graham, I, Shelley, E, Behar, S, Maggioni, A, Grabauskiene, V, Deckers, J, Asmussen, I, Stepinska, J, Gonçalves, L, Mareev, V, Vasiljevic, Z, Riecansky, I, Kenda, MF, Alonso, A, Lopez-Sendon, JL, Rosengren, A, Lombardi, F, Fiorentini, C & Euro Heart Survey Investigators 2005, 'Atrial fibrillation management: A prospective survey in ESC Member Countries - The Euro Heart Survey on atrial fibrillation', European Heart Journal, vol. 26, no. 22, pp. 2422-2434. https://doi.org/10.1093/eurheartj/ehi505

@article{a5f69cbd8dbd4d39b712ca9b73ccd655,

title = "Atrial fibrillation management: A prospective survey in ESC Member Countries - The Euro Heart Survey on atrial fibrillation",

abstract = "Aims To describe atrial fibrillation (AF) management in member countries of the European Society of Cardiology (ESC) and to verify cardiology practices against guidelines. Methods and results Among 182 hospitals in 35 countries, 5333 ambulant and hospitalized AF patients were enrolled, in 2003 and 2004. AF was primary or secondary diagnosis, and was confirmed on ECG in the preceding 12 months. Clinical type of AF was reported to be first detected in 978, paroxysmal in 1517, persistent in 1167, and permanent in 1547 patients. Concomitant diseases were present in 90% of all patients, causing risk factors for stroke to be also highly prevalent (86%). As many as 69% of patients were symptomatic at the time of the survey; among asymptomatic patients, 54% were previously experienced symptoms. Oral anticoagulation was prescribed in 67 and 49% of eligible and ineligible patients, respectively. A rhythm control strategy was applied in 67% of currently symptomatic patients and in 44% of patients who never experienced symptoms. Conclusion This survey provides a unique snapshot of current AF management in ESC member countries. Discordance between guidelines and practice was found regarding several issues on stroke prevention and antiarrhythmic therapy.",

keywords = "Anticoagulation, Atrial fibrillation, Guidelines, Heart failure, Rate control, Rhythm control",

author = "Robby Nieuwlaat and Alessandro Capucci and Camm, {A. John} and Olsson, {S. Bertil} and Dietrich Andresen and Davies, {D. Wyn} and Stuart Cobbe and G{\"u}nter Breithardt and {Le Heuzey}, {Jean Yves} and Prins, {Martin H.} and Samuel L{\'e}vy and Crijns, {Harry J G M} and Etienne Aliot and Massimo Santini and Panos Vardas and Malika Manini and Claire Bramley and Val{\'e}rie Laforest and Charles Taylor and {Del Gaiso}, Susan and Kurt Huber and {De Backer}, Guy and Vera Sirakova and Roman Cerbak and Per Thayssen and Seppo Lehto and Blanc, {Jean Jacques} and Fran{\c c}ois Delahaye and Bondo Kobulia and Uwe Zeymer and Dennis Cokkinos and Kristof Karlocai and Ian Graham and Emer Shelley and Shlomo Behar and Aldo Maggioni and Virginija Grabauskiene and Jaap Deckers and Inger Asmussen and Janina Stepinska and Lino Gon{\c c}alves and Vyacheslav Mareev and Zorana Vasiljevic and Igor Riecansky and Kenda, {Miran F.} and Angeles Alonso and Lopez-Sendon, {Jos{\'e} Luis} and Annika Rosengren and Federico Lombardi and Cesare Fiorentini and {Euro Heart Survey Investigators}",

year = "2005",

doi = "10.1093/eurheartj/ehi505",

language = "English",

volume = "26",

pages = "2422--2434",

journal = "European Heart Journal",

issn = "0195-668X",

publisher = "Oxford University Press",

number = "22",

}

TY - JOUR

T1 - Atrial fibrillation management

T2 - A prospective survey in ESC Member Countries - The Euro Heart Survey on atrial fibrillation

AU - Nieuwlaat, Robby

AU - Capucci, Alessandro

AU - Camm, A. John

AU - Olsson, S. Bertil

AU - Andresen, Dietrich

AU - Davies, D. Wyn

AU - Cobbe, Stuart

AU - Breithardt, Günter

AU - Le Heuzey, Jean Yves

AU - Prins, Martin H.

AU - Lévy, Samuel

AU - Crijns, Harry J G M

AU - Aliot, Etienne

AU - Santini, Massimo

AU - Vardas, Panos

AU - Manini, Malika

AU - Bramley, Claire

AU - Laforest, Valérie

AU - Taylor, Charles

AU - Del Gaiso, Susan

AU - Huber, Kurt

AU - De Backer, Guy

AU - Sirakova, Vera

AU - Cerbak, Roman

AU - Thayssen, Per

AU - Lehto, Seppo

AU - Blanc, Jean Jacques

AU - Delahaye, François

AU - Kobulia, Bondo

AU - Zeymer, Uwe

AU - Cokkinos, Dennis

AU - Karlocai, Kristof

AU - Graham, Ian

AU - Shelley, Emer

AU - Behar, Shlomo

AU - Maggioni, Aldo

AU - Grabauskiene, Virginija

AU - Deckers, Jaap

AU - Asmussen, Inger

AU - Stepinska, Janina

AU - Gonçalves, Lino

AU - Mareev, Vyacheslav

AU - Vasiljevic, Zorana

AU - Riecansky, Igor

AU - Kenda, Miran F.

AU - Alonso, Angeles

AU - Lopez-Sendon, José Luis

AU - Rosengren, Annika

AU - Lombardi, Federico

AU - Fiorentini, Cesare

AU - Euro Heart Survey Investigators

PY - 2005

Y1 - 2005

N2 - Aims To describe atrial fibrillation (AF) management in member countries of the European Society of Cardiology (ESC) and to verify cardiology practices against guidelines. Methods and results Among 182 hospitals in 35 countries, 5333 ambulant and hospitalized AF patients were enrolled, in 2003 and 2004. AF was primary or secondary diagnosis, and was confirmed on ECG in the preceding 12 months. Clinical type of AF was reported to be first detected in 978, paroxysmal in 1517, persistent in 1167, and permanent in 1547 patients. Concomitant diseases were present in 90% of all patients, causing risk factors for stroke to be also highly prevalent (86%). As many as 69% of patients were symptomatic at the time of the survey; among asymptomatic patients, 54% were previously experienced symptoms. Oral anticoagulation was prescribed in 67 and 49% of eligible and ineligible patients, respectively. A rhythm control strategy was applied in 67% of currently symptomatic patients and in 44% of patients who never experienced symptoms. Conclusion This survey provides a unique snapshot of current AF management in ESC member countries. Discordance between guidelines and practice was found regarding several issues on stroke prevention and antiarrhythmic therapy.

AB - Aims To describe atrial fibrillation (AF) management in member countries of the European Society of Cardiology (ESC) and to verify cardiology practices against guidelines. Methods and results Among 182 hospitals in 35 countries, 5333 ambulant and hospitalized AF patients were enrolled, in 2003 and 2004. AF was primary or secondary diagnosis, and was confirmed on ECG in the preceding 12 months. Clinical type of AF was reported to be first detected in 978, paroxysmal in 1517, persistent in 1167, and permanent in 1547 patients. Concomitant diseases were present in 90% of all patients, causing risk factors for stroke to be also highly prevalent (86%). As many as 69% of patients were symptomatic at the time of the survey; among asymptomatic patients, 54% were previously experienced symptoms. Oral anticoagulation was prescribed in 67 and 49% of eligible and ineligible patients, respectively. A rhythm control strategy was applied in 67% of currently symptomatic patients and in 44% of patients who never experienced symptoms. Conclusion This survey provides a unique snapshot of current AF management in ESC member countries. Discordance between guidelines and practice was found regarding several issues on stroke prevention and antiarrhythmic therapy.

KW - Anticoagulation

KW - Atrial fibrillation

KW - Guidelines

KW - Heart failure

KW - Rate control

KW - Rhythm control

UR - http://www.scopus.com/inward/record.url?scp=84995360016&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84995360016&partnerID=8YFLogxK

U2 - 10.1093/eurheartj/ehi505

DO - 10.1093/eurheartj/ehi505

M3 - Review article

C2 - 16204266

SN - 0195-668X

VL - 26

SP - 2422

EP - 2434

JO - European Heart Journal

JF - European Heart Journal

IS - 22

ER -

Atrial fibrillation management: A prospective survey in ESC Member Countries - The Euro Heart Survey on atrial fibrillation

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this