ESC 2012: EHRA achievements EHRA Scientific Documents 2011/2012

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1 WESTFÄLISCHE WILHELMS-UNIVERSITÄT MÜNSTER ESC 2012: EHRA achievements EHRA Scientific Documents 2011/2012 Prof. Dr. med. Paulus Kirchhof Chair in Cardiovascular Medicine University of Birmingham Centre for Cardiovascular Sciences, Birmingham, UK and Department of Cardiology and Angiology University Hospital Muenster, Germany

2 Financial disclosures Merck Daicchi-Sankyo Pfizer European Union

3 EHRA achievements Atrial fibrillation Sudden death Device therapy Communicating EHRA documents Summary

4 EHRA achievements Atrial fibrillation Sudden death Device therapy Communicating EHRA documents Summary

5 What to ablate in AF ablation? 2 nd AFNET/EHRA consensus document. Kirchhof P, et al. Eur Heart J 30: c. (2009) 2012 AF ablation consensus document. Calkins H, et al. Europace 14: (2012) 2012 ESC AF GL update. Camm AJ, et al. Eur Heart J, published on line 25 August 2012

6 A selective class I indication 2012 AF ablation consensus document. Calkins H, et al. Europace 14: (2012) 2012 ESC AF GL update. Camm AJ, et al. Eur Heart J, published on line 25 August 2012

7 Bleeding risk on anticoagulation EHRA/ WG Thrombosis joint document. Lip GY, et al. Europace 13: (2011)

8 A pathophysiological classification of AF Inheritable AF Monogenic Polygenic Focal AF Complex AF Postoperative AF 3 rd AFNET/EHRA consensus document. Kirchhof P, et al. Europace 14: (2012)

9 EHRA achievements Atrial fibrillation Sudden death Device therapy Communicating EHRA documents Summary

10 Genetic testing for inherited cardiomyopathies Comprehenise description of the clinical relevance and accuracy of genetic testing Follow-up document on management of patients with inherited cardiomoypathies in the making (EHRA 2013) EHRA/HRS consensus statement on genetic testing. Ackerman MJ, et al. Europace 13: (2011)

11 Management of palpitations EHRA position paper on palpitations. Raviele A, et al. Europace 13: (2011)

12 EHRA achievements Atrial fibrillation Sudden death Device therapy Communicating EHRA documents Summary

13 Guidance for lead extraction Overview of the clinical problem Definitions of minimal requirements to perform lead extractions (and training) Clinical guidance Deharo, JC, et al. Europace 14: (2012)

14 Remote monitoring of implanted devices Definitions Devices interrogation: Telemetry to retrieve information Device programming: Bidirectional telemetry Programmer: Receive and transmit info via telemetry Home Monitoring: Remote device able to communicate with CIED Remote Monitoring: Remote wireless communication systems Remote FU: Programmable scheduled transmissions RM: Automatically unscheduled transmissions Pt initiated interrogations: Non-scheduled FU as a result of a patient experiencing a real or perceived clinical event overview of techniques and use overview of reimbursment EHRA/ISNHE joint document. Dubner, S, et al. Europace 14: (2012)

15 EHRA/HRS Expert Consensus Statement on Cardiac Resynchronisation Therapy: Implantation and Follow-up of CRT Devices Six sections 1. Pre-implant evaluation: P Adamson, US, JC Daubert, FR 2. CRT Implantation: J Singh, US 3. Pre-discharge and device programming: C Leclercq, FR 4. Heart failure and device follow-up: C Israel, DE, C Linde, SE, JA Lindenfeld, US 5. Response to CRT: MR Gold, US 6. Special issues: L Saxon, US Claude Daubert, MD, Chair Daubert JC et al Europace published on line 28 Aug 2012

16 5. CRT response: Is there a consensual definition? % Non-responders Claude Daubert, MD, Chair Daubert JC et al Europace published on line 28 Aug 2012

17 EHRA achievements Atrial fibrillation Sudden death Device therapy Communicating EHRA documents Summary

18 Communicating EHRA documents EHRA booklets Slide sets web page apps (soon)

19 EHRA achievements Atrial fibrillation Sudden death Device therapy Communicating EHRA documents Summary

20 EHRA scientific documents often joint documents (ESC and international) standardised procedures for writing and review high visibility of results quality of documents (authors!, reviewers!) publication in Europace derivative products: Booklets, web page, slides, (apps) watch out for more documents at pediatric EP practicalities of NOAC therapy management of inherited cardiomyopathies new devices in heart failure translational approaches to AF use of left atrial appendage occluders

21 EHRA scientific documents The scientific documents committee Paulus Kirchhof (chair) Antonio Raviele (co-chair) Mickael Glikson Bulent Gorenek Josep Brugada Terradellas Jean-Claude Daubert Stephan Willems Ali Oto Irina Savelieva Pedro Adragao Ulrich Schotten EHRA staff (Caroline Demoras, Vanessa Meyen, ) contact EHRA (ehra@escardio.org) or p.kirchhof@bham.ac.uk when you have suggesions for new topics or comments

22 EHRA scientific documents often joint documents (ESC and international) standardised procedures for writing and review high visibility of results quality of documents (authors!, reviewers!) publication in Europace derivative products: Booklets, web page, slides, (apps) watch out for more documents at pediatric EP practicalities of NOAC therapy management of inherited cardiomyopathies new devices in heart failure translational approaches to AF use of left atrial appendage occluders

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