TY - JOUR
T1 - European Heart Rhythm Association (EHRA) position paper on arrhythmia management and device therapies in endocrine disorders, endorsed by Asia Pacific Heart Rhythm Society (APHRS) and Latin American Heart Rhythm Society (LAHRS)
AU - Gorenek, Bulent
AU - Boriani, Giuseppe
AU - Dan, Gheorge-Andrei
AU - Fauchier, Laurent
AU - Fenelon, Guilherme
AU - Huang, He
AU - Kudaiberdieva, Gulmira
AU - Lip, Gregory Y H
AU - Mahajan, Rajiv
AU - Potpara, Tatjana
AU - Ramirez, Juan David
AU - Vos, Marc A
AU - Marin, Francisco
AU - ESC Scientific Document Group
N1 - Pp. 895-896ab.
A correction has been published:
EP Europace, Volume 20, Issue 6, 1 June 2018, Page 948, https://doi.org/10.1093/europace/euy103
PY - 2018/6/1
Y1 - 2018/6/1
N2 - Endocrine disorders are associated with various tachyarrhythmias, including atrial fibrillation (AF), ventricular tachycardia (VT), ventricular fibrillation (VF), and bradyarrhythmias. Along with underlying arrhythmia substrate, electrolyte disturbances, glucose, and hormone levels, accompanying endocrine disorders contribute to development of arrhythmia. Arrhythmias may be life-threatening, facilitate cardiogenic shock development and increase mortality. The knowledge on the incidence of tachy- and bradyarrhythmias, clinical and prognostic significance as well as their management is limited; it is represented in observational studies and mostly in case reports on management of challenging cases. It should be also emphasized, that the topic is not covered in detail in current guidelines. Therefore, cardiologists and multidisciplinary teams participating in care of such patients do need the evidence-based, or in case of limited evidence expert-opinion based recommendations, how to treat arrhythmias using contemporary approaches, prevent their complications and recurrence in patients with endocrine disorders. In recognizing this close relationship between endocrine disorders and arrhythmias, the European Heart Rhythm Association (EHRA) convened a Task Force, with representation from Asia-Pacific Heart Rhythm Society (APHRS) and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLAECE), with the remit of comprehensively reviewing the available evidence and publishing a joint consensus document on endocrine disorders and cardiac arrhythmias, and providing up-to-date consensus recommendations for use in clinical practice.
AB - Endocrine disorders are associated with various tachyarrhythmias, including atrial fibrillation (AF), ventricular tachycardia (VT), ventricular fibrillation (VF), and bradyarrhythmias. Along with underlying arrhythmia substrate, electrolyte disturbances, glucose, and hormone levels, accompanying endocrine disorders contribute to development of arrhythmia. Arrhythmias may be life-threatening, facilitate cardiogenic shock development and increase mortality. The knowledge on the incidence of tachy- and bradyarrhythmias, clinical and prognostic significance as well as their management is limited; it is represented in observational studies and mostly in case reports on management of challenging cases. It should be also emphasized, that the topic is not covered in detail in current guidelines. Therefore, cardiologists and multidisciplinary teams participating in care of such patients do need the evidence-based, or in case of limited evidence expert-opinion based recommendations, how to treat arrhythmias using contemporary approaches, prevent their complications and recurrence in patients with endocrine disorders. In recognizing this close relationship between endocrine disorders and arrhythmias, the European Heart Rhythm Association (EHRA) convened a Task Force, with representation from Asia-Pacific Heart Rhythm Society (APHRS) and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLAECE), with the remit of comprehensively reviewing the available evidence and publishing a joint consensus document on endocrine disorders and cardiac arrhythmias, and providing up-to-date consensus recommendations for use in clinical practice.
KW - Adrenal insufficiency
KW - Arrhythmias
KW - Atrial fibrillation
KW - Cardiac implantable electronic device
KW - Catheter ablation
KW - Diabetes
KW - EHRA position paper
KW - Endocrine disorders
KW - Growth hormone dysfunction
KW - Hyperaldosteronism
KW - Hyperthyroidism
KW - Hypothyroidism
KW - Implantable cardioverter-defibrillator
KW - Oral anticoagulation
KW - Pacemaker
KW - Parathyroid disease
KW - Pheochromocytoma
KW - Stroke
KW - Thyroid disorders
KW - Ventricular arrhythmias
UR - http://www.scopus.com/inward/record.url?scp=85048056022&partnerID=8YFLogxK
U2 - 10.1093/europace/euy051
DO - 10.1093/europace/euy051
M3 - Journal article
C2 - 29566135
SN - 1099-5129
VL - 20
SP - 895
EP - 896
JO - Europace
JF - Europace
IS - 6
ER -