EHRA White Paper: knowledge gaps in arrhythmia management-status 2019
Por:
Goette, A, Auricchio, A, Boriani, G, Braunschweig, F, Terradellas, JB, Burri, H, Camm, AJ, Crijns, H, Dagres, N, Deharo, JC, Dobrev, D, Hatala, R, Hindricks, G, Hohnloser, SH, Leclercq, C, Lewalter, T, Lip, GYH, Merino, JL, Mont, L, Prinzen, F, Proclemer, A, Purerfellner, H, Savelieva, I, Schilling, R, Steffel, J, van Gelder, IC, Zeppenfeld, K, Zupan, I, Heidbuchel, H, Boveda, S, Defaye, P, Brignole, M, Chun, J, Ramos, JMG, Fauchier, L, Svendsen, JH, Traykov, VB, Heinzel, FR, ESC Sci Document Grp
Publicada:
1 jul 2019
Resumen:
Clinicians accept that there are many unknowns when we make diagnostic and therapeutic decisions. Acceptance of uncertainty is essential for the pursuit of the profession: bedside decisions must often be made on the basis of incomplete evidence. Over the years, physicians sometimes even do not realize anymore which the fundamental gaps in our knowledge are. As clinical scientists, however, we have to halt and consider what we do not know yet, and how we can move forward addressing those unknowns. The European Heart Rhythm Association (EHRA) believes that scanning the field of arrhythmia / cardiac electrophysiology to identify knowledge gaps which are not yet the subject of organized research, should be undertaken on a regular basis. Such a review (White Paper) should concentrate on research which is feasible, realistic, and clinically relevant, and should not deal with futuristic aspirations. It fits with the EHRA mission that these White Papers should be shared on a global basis in order to foster collaborative and needed research which will ultimately lead to better care for our patients. The present EHRA White Paper summarizes knowledge gaps in the management of atrial fibrillation, ventricular tachycardia/sudden death and heart failure.
Filiaciones:
Goette, A:
St Vincenz Krankenhaus GmbH, Cardiol & Intens Care Med, Busdorf 2, D-33098 Paderborn, Germany
Univ Hosp Magdeburg, Working Grp Mol Electrophysiol, Magdeburg, Germany
Auricchio, A:
Fdn Cardioctr Ticino, Dept Cardiol, Lugano, Ticino, Switzerland
Boriani, G:
Univ Modena & Reggio Emilia, Div Cardiol, Dept Biomed Metab & Neural Sci, Policlin Modena, Modena, Italy
Braunschweig, F:
Karolinska Univ Hosp, Dept Cardiol, Stockholm, Sweden
Terradellas, JB:
Univ Barcelona, Hosp Clin, Dept Cardiol, Barcelona, Spain
Burri, H:
Univ Hosp Geneva, Dept Cardiol, Geneva, Switzerland
Camm, AJ:
St Georges Univ London, Mol & Clin Sci Res Inst, London, England
Crijns, H:
Maastricht UMC, Dept Cardiol, Maastricht, Netherlands
Maastricht UMC, Cardiovasc Res Inst Maastricht CARIM, Maastricht, Netherlands
Dagres, N:
Univ Leipzig, Heart Ctr Leipzig, Dept Electrophysiol, Leipzig, Germany
Deharo, JC:
Aix Marseille Univ, Dept Cardiol, CHU Timone, Marseille, France
Dobrev, D:
Univ Duisburg Essen, Inst Pharmacol, Essen, Germany
Hatala, R:
NUSCH, Natl Cardiovasc Inst, Dept Cardiol & Angiol, Bratislava, Slovakia
Hindricks, G:
Univ Leipzig, Heart Ctr Leipzig, Dept Electrophysiol, Leipzig, Germany
Hohnloser, SH:
Goethe Univ Frankfurt, Dept Cardiol, Div Clin Electrophysiol, Frankfurt, Germany
Leclercq, C:
Univ Rennes, CHU Rennes, LTSI, UMR1099, Rennes, France
Lewalter, T:
Hosp Internal Med Munich South, Dept Cardiol & Intens Care, Munich, Germany
Univ Bonn, Dept Cardiol, Bonn, Germany
Lip, GYH:
Univ Liverpool, Liverpool Ctr Cardiovasc Sci, Liverpool, Merseyside, England
Liverpool Heart & Chest Hosp, Liverpool, Merseyside, England
Aalborg Univ, Dept Clin Med, Aalborg Thrombosis Res Unit, Aalborg, Denmark
Merino, JL:
Hosp Univ La Paz, Arrhythmia & Robot EP Unit, Madrid, Spain
Mont, L:
Univ Barcelona, Hosp Clin, Dept Cardiol, Barcelona, Spain
Prinzen, F:
Maastricht Univ, Dept Physiol, Maastricht, Netherlands
Proclemer, A:
Univ Hosp Udine, Div Cardiol, Udine, Italy
Purerfellner, H:
Acad Teaching Hosp, Ordensklinikum Linz Elisabethinen, Dept Cardiol, Linz, Austria
Savelieva, I:
St Georges Univ London, Mol & Clin Sci Res Inst, London, England
Schilling, R:
Barts & London NHS Trust, Barts Heart Ctr, London, England
Steffel, J:
Univ Heart Ctr Zurich, Zurich, Switzerland
van Gelder, IC:
Univ Groningen, Univ Med Ctr Groningen, Dept Cardiol, Groningen, Netherlands
Zeppenfeld, K:
Lumc, Dept Cardiol, Leiden, Netherlands
Zupan, I:
Univ Clin Ctr Ljubljana, Dept Cardiol, Ljubljana, Slovenia
Heidbuchel, H:
Antwerp Univ, Antwerp, Belgium
Antwerp Univ Hosp, Antwerp, Belgium
Boveda, S:
Clin Pasteur, Dept Cardiol, F-31076 Toulouse, France
Defaye, P:
CHU Hop Albert Michalon, Unite Rythmol, Serv Cardiol, FR-38043 Grenoble 09, France
Brignole, M:
Osped Tigullio, Dept Cardiol, Via Don Bobbio 25, IT-16033 Lavagna, GE, Italy
Chun, J:
Markuskrankenhaus, CCB, Dept Cardiol, Med Klin 3, Wilhelm Epstein Str 4, DE-60431 Frankfurt, Germany
Ramos, JMG:
Hosp Santa Creu & Sant Pau, Unitat Aritmies, Barcelona, Spain
Fauchier, L:
Ctr Hosp Univ Trousseau, Serv Cardiol, Tours, France
Univ Tours, Fac Med, Tours, France
Svendsen, JH:
Copenhagen Univ Hosp, Ctr Heart, Dept Cardiol, Rigshosp, Copenhagen, Denmark
Univ Copenhagen, Fac Hlth & Med Sci, Dept Clin Med, Copenhagen, Denmark
Traykov, VB:
Acibadem City Clin Tokuda Hosp, Clin Cardiol, Dept Invas Electrophysiol & Cardiac Pacing, Sofia, Bulgaria
Heinzel, FR:
Charite, Campus Virchow Klinikum, D-13353 Berlin, Germany
Green Published
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