Ventricular arrhythmias in acute heart failure: 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
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.
Authors
- Bradley Porter
- Gheorghe‐Andrei Dan (ORCID: https://orcid.org/0000-0001-9867-2582)
- Finn Gustafsson (ORCID: https://orcid.org/0000-0003-2144-341X)
- Μichael Spartalis (ORCID: https://orcid.org/0000-0002-7442-838X)
- Andreas Goette (ORCID: https://orcid.org/0000-0002-8223-7209)
- Joris Ector (ORCID: https://orcid.org/0000-0002-1460-7837)
- Nils Gosau (ORCID: https://orcid.org/0000-0002-7888-9204)
- Adrianus P. Wijnmaalen (ORCID: https://orcid.org/0000-0001-9892-0136)
- Bülent Görenek (ORCID: https://orcid.org/0000-0002-2745-5561)
- Ovidiu Chioncel (ORCID: https://orcid.org/0000-0002-3197-3628)
- Offer Amir (ORCID: https://orcid.org/0000-0002-5624-2450)
- Markus Stühlinger (ORCID: https://orcid.org/0000-0003-1324-0815)
- Gurbet Özge Mert (ORCID: https://orcid.org/0000-0001-8350-9758)
Institutions
- Innsbruck Medical University (AT)
- Carol Davila University of Medicine and Pharmacy (RO)
- King's College London (GB)
- National and Kapodistrian University of Athens (GR)
- Paderborn University (DE)
- Hadassah Medical Center (IL)
- Leiden University Medical Center (NL)
- Copenhagen University Hospital (DK)
- Rigshospitalet (DK)
- University Medical Center (US)
- Academia Oamenilor de Știință din România (RO)
- Institutul de Urgenţă pentru Boli Cardiovasculare "Prof.Dr. C.C. Iliescu" (RO)
- Klinik Hietzing (AT)
- St. Vincenz-Krankenhaus Limburg (DE)
- National Institute of Cardiovascular Diseases (PK)
- University Hospitals Plymouth NHS Trust (GB)
- Eskişehir Osmangazi University (TR)
- KU Leuven (BE)
Publication Details
- Journal
- EP Europace
- Published
- 2024-09-13
- DOI
- https://doi.org/10.1093/europace/euae235
- Citations
- 15
- Primary Topic
- Heart Failure Treatment and Management
- Type
- article
- Field-Weighted Citation Impact
- 6.03