Recommandations et pratiques quotidiennes en rythmologie. European Society of Cardiology.

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Published today - Advanced Access
European Heart Journal
http://eurheartj.oxfordjournals.org/

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Classification of Atrial Fibrillation
Paroxysmal
(usually <48 h)

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Time Course and Management of AF

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Important Elements of the History

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Symptom Scores

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Diagnosis / Follow-up
Class I Recommendations

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Principles of Management

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CHA2DS2-VASc

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CHA2DS2-VASc Thromboembolic Risk Score

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Selected OAC Recommendations

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Bleeding Risk – HAS-BLED Score

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Rate and Rhythm Control

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Optimal Rate Control

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Optimal Rate Control

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Choice of
Rate Control
Medication

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Antiarrhythmic Medication for Rhythm Control

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Antiarrhythmic Medication for Rhythm Control

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Antiarrhythmic Medication for Rhythm Control

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Choice of AAD - Underlying Pathology

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Catheter Ablation for Atrial Fibrillation

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Indication for
LA Catheter Ablation

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Ablation when
SHD is Present

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

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“Upstream” Therapy – Secondary Prevention

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Atrial Fibrillation in Athletes

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