Abstract
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.
Original language | English |
---|---|
Journal | Europace |
Volume | 20 |
Issue number | 6 |
Pages (from-to) | 895–896 |
Number of pages | 2 |
ISSN | 1099-5129 |
DOIs | |
Publication status | Published - 1 Jun 2018 |
Bibliographical note
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
Keywords
- Adrenal insufficiency
- Arrhythmias
- Atrial fibrillation
- Cardiac implantable electronic device
- Catheter ablation
- Diabetes
- EHRA position paper
- Endocrine disorders
- Growth hormone dysfunction
- Hyperaldosteronism
- Hyperthyroidism
- Hypothyroidism
- Implantable cardioverter-defibrillator
- Oral anticoagulation
- Pacemaker
- Parathyroid disease
- Pheochromocytoma
- Stroke
- Thyroid disorders
- Ventricular arrhythmias