European Heart Rhythm Association (EHRA)/Heart Rhythm Society (HRS)/Asia Pacific Heart Rhythm Society (APHRS)/Latin American Heart Rhythm Society (LAHRS) expert consensus on arrhythmias and cognitive function: what is the best practice?

摘要: Keywords: European Heart Rhythm Association, Society, Asia Pacific Latin American Cognitive, Arrythmias, Dementia Table of Contents Introduction    1400  Evidence review    1400  Relationships with industry and other conflicts    1400a Decline cognitive function: terminology epidemiology    1400a  Terminology: decline, mild impairment, dementia    1400a  Epidemiology dementia    1400a Methods for assessment function    1400b Role imaging    1400c Atrial fibrillation function    1400c  Atrial fibrillation, overt stroke, silent function    1400e  Atrial function in the absence stroke    1400g  Assessment atrial patients clinical practice    1400g  Prevention dysfunction patients    1400h Other arrhythmias dysfunction    1400j  Cognitive regular supraventricular tachycardias    1400j  Cognitive impairment after cardiac arrest    1400j  Cardiac implantable electronic devices dysfunction    1400k  Catheter ablation    1400k  Implications electrophysiological procedures function    1400l Current knowledge gaps, future directions, areas research    1400m Recommendations    1400m Introduction This expert consensus statement Association (EHRA), Society (HRS), (APHRS), (LAHRS) summarizes international writing group is based on a thorough review medical literature regarding arrhythmias. The document intended to describe impact different types function, highlight possible risk markers decline formulate implications practice follow-up methods, prevention treatment strategies. Our objective raise awareness among physicians treating provide them practical proposals that may lead improvement patient care this regard. This reviews epidemiology dysfunction, methods role imaging. Recent studies have suggested associations between (AF). We reported AF including scenarios or no then make recommendations practice. also association settings such as post-cardiac arrest, devices, cardioverter-defibrillators (ICDs) pacemakers, ablation procedures. Implications are discussed. Long QT syndrome not addressed document. For quick reference, sub-chapters followed by short section recommendations. concludes summary statements, current directions research. Evidence review Members Task Force were asked perform detailed review, weigh strength evidence against particular procedure, include estimates expected health outcomes which data exist. Patient-specific modifiers, co-morbidities, issues preference might influence choice tests therapies considered, frequency cost-effectiveness. In controversial areas, regard without than usual practice, was achieved agreement panel deliberations. This prepared representation from EHRA, HRS, APHRS, LAHRS. peer-reviewed official external reviewers representing LAHRS. Consensus statements evidence-based derived primarily published determined through opinion if available. Current systems ranking level becoming complicated way their utility be compromised.1 contrast guidelines, we opted an easier user-friendly system using ‘coloured hearts’ should allow easily assess status consequent guidance (Table ​Table11). EHRA grading does separate definitions evidence. categorization, used must considered directly similar society guideline recommendations, apply classification (Class I–III) (A, B, C) guidelines. Table 1 Scientific rationale recommendations*