Guidelines for the management of atrial fibrillation

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ID: 291616
2010
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Abstract
Guidelines summarize and evaluate all currently available evidence on a particular issue with the aim of assisting physicians in selecting the best management strategy for an individual patient suffering from a given condition, taking into account the impact on outcome, as well as the risk–benefit ratio of particular diagnostic or therapeutic means. Guidelines are no substitutes for textbooks. The legal implications of medical guidelines have been discussed previously. A large number of Guidelines have been issued in recent years by the European Society of Cardiology (ESC) as well as by other societies and organizations. Because of the impact on clinical practice, quality criteria for development of guidelines have been established in order to make all decisions transparent to the user. The recommendations for formulating and issuing ESC Guidelines can be found on the ESC Web Site (http://www.escardio.org/knowledge/guidelines/rules). In brief, experts in the field are selected and undertake a comprehensive review of the published evidence for management and/or prevention of a given condition. A critical evaluation of diagnostic and therapeutic procedures is performed, including assessment of the risk–benefit ratio. Estimates of expected health outcomes for larger societies are included, where data exist. The level of evidence and the strength of recommendation of particular treatment options are weighed and graded according to pre-defined scales, as outlined in Tables 1 and 2 . View this table: Table 1 Classes of recommendations View this table: Table 2 Levels of evidence The experts of the writing panels have provided disclosure statements of all relationships they may have that might be perceived as real or potential sources of conflicts of interest. These disclosure forms are kept on file at the European Heart House, headquarters of the ESC. Any changes in conflict of interest that arise during the writing period must be notified to the ESC. The Task Force report received its entire financial support from …
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Authors A. John Camm, Paulus Kirchhof, Gregory Y.H. Lip, Ulrich Schotten, Irene Savelieva, Sabine Ernst, Isabelle C. Van Gelder, Nawwar Al‐Attar, Gerhard Hindricks, Bernard Prendergast, Hein Heidbüchel, Ottavio Alfieri, Annalisa Angelini, Dan Atar, Paolo Colonna, Raffaele De Caterina, Johan De Sutter, Andreas Goette, Bülent Görenek, Magnus Heldal, Stefan H. Hohloser, Philippe Kolh, Jean-Yves Le Heuzey, Piotr Ponikowski, Frans H. Rutten, Alec Vahanian, Angelo Auricchio, Jeroen J. Bax, Claudio Ceconi, Verónica Dean, Gerasimos Filippatos, Christian Funck‐Brentano, Richard Hobbs, Patricia M. Kearney, Theresa A. McDonagh, Bogdan A. Popescu, Željko Reiner, Udo Sechtem, Per Anton Sirnes, Michał Tendera, Panos Vardas, Petr Widimský, Panos Vardas, Vazha Agladze, Etienne Aliot, T. Balabanski, Carina Blomström‐Lundqvist, Alessandro Capucci, Harry J.G.M. Crijns, Björn Dahlöf, Thierry Folliguet, Michael Glikson, Marnix Goethals, Dietrich C. Gulba, Siew Yen Ho, Robert J.M. Klautz, Sedat Köse, John J.V. McMurray, Pasquale Perrone Filardi, Pekka Raatikainen, Maria Jesus Salvador, Martin J. Schalij, A. Shpektor, João de Sousa, Janina Stępińska, Hasso Uuetoa, José Luis Zamorano, Igor Zupan
Journal EP Europace
Year 2010
DOI
10.1093/europace/euq350
URL
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