TY - JOUR
T1 - Ventricular arrhythmias in acute heart failure
T2 - A clinical consensus statement of the Association for Acute CardioVascular Care, the European Heart Rhythm Association, and the Heart Failure Association of the European Society of Cardiology
AU - Gorenek, Bulent
AU - Wijnmaalen, Adrianus P.
AU - Goette, Andreas
AU - Mert, Gurbet Ozge
AU - Porter, Bradley
AU - Gustafsson, Finn
AU - Dan, Gheorghe Andrei
AU - Ector, Joris
AU - Stuehlinger, Markus
AU - Spartalis, Michael
AU - Gosau, Nils
AU - Amir, Offer
AU - Chioncel, Ovidiu
N1 - Publisher Copyright:
© 2024 The Author(s).
PY - 2024/10/3
Y1 - 2024/10/3
N2 - Patients presenting with or alerting emergency networks due to acute heart failure (AHF) form a diverse group with a plethora of symptoms, risks, comorbidities, and aetiologies. During AHF, there is an increased risk of destabilizing the functional substrate and modulatory adding to the risk of ventricular arrhythmias (VAs) already created by the structural substrate. New VAs during AHF have previously identified patients with higher intra-hospital and 60-day morbidity and mortality. Risk stratification and criteria/best time point for coronary intervention and implantable cardioverter defibrillator implantation, however, are still controversial topics in this difficult clinical setting. The characteristics and logistics of pre-hospital emergency medicine, as well as the density of centres capable of treating AHF and VAs, differ massively throughout Europe. Scientific guidelines provide clear recommendations for the management of arrhythmias in patients with chronic heart failure. However, the incidence, significance, and management of arrhythmias in patients with AHF have been less studied. This consensus paper aimed to address the identification and treatment of VAs that complicate the course of patients who have AHF, including cardiogenic shock.
AB - Patients presenting with or alerting emergency networks due to acute heart failure (AHF) form a diverse group with a plethora of symptoms, risks, comorbidities, and aetiologies. During AHF, there is an increased risk of destabilizing the functional substrate and modulatory adding to the risk of ventricular arrhythmias (VAs) already created by the structural substrate. New VAs during AHF have previously identified patients with higher intra-hospital and 60-day morbidity and mortality. Risk stratification and criteria/best time point for coronary intervention and implantable cardioverter defibrillator implantation, however, are still controversial topics in this difficult clinical setting. The characteristics and logistics of pre-hospital emergency medicine, as well as the density of centres capable of treating AHF and VAs, differ massively throughout Europe. Scientific guidelines provide clear recommendations for the management of arrhythmias in patients with chronic heart failure. However, the incidence, significance, and management of arrhythmias in patients with AHF have been less studied. This consensus paper aimed to address the identification and treatment of VAs that complicate the course of patients who have AHF, including cardiogenic shock.
KW - Acute heart failure
KW - Ventricular arrhythmias
UR - http://www.scopus.com/inward/record.url?scp=85208204035&partnerID=8YFLogxK
U2 - 10.1093/europace/euae235
DO - 10.1093/europace/euae235
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C2 - 39270731
AN - SCOPUS:85208204035
SN - 1099-5129
VL - 26
JO - Europace
JF - Europace
IS - 10
M1 - euae235
ER -