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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)
Eskisehir Osmangazi Univ, Eskisehir, Turkey.
Univ Modena & Reggio Emilia, Cardiol Div, Dept Diagnost, Clin & Publ Hlth Med,Policlin Modena, Modena, Italy.
Univ Med & Pharm Carol Davila, Colentina Univ Hosp, Bucharest, Romania;Univ Tours, Tours, France.
CHU Tours, Tours, France;Hosp Israelita Albert Einstein, Sao Paulo, Brazil.
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2018 (English)In: Europace, ISSN 1099-5129, E-ISSN 1532-2092, Vol. 20, no 6, p. 895-+Article in journal (Refereed) Published
Abstract [en]

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 Estimulacion Cardiaca y Electrofisiologia (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.

Place, publisher, year, edition, pages
2018. Vol. 20, no 6, p. 895-+
Keywords [en]
Endocrine disorders, Arrhythmias, Atrial fibrillation, Ventricular arrhythmias, Cardiac implantable electronic device, Pacemaker, Implantable cardioverter-defibrillator, Catheter ablation, Diabetes, Thyroid disorders, Hyperthyroidism, Hypothyroidism, Pheochromocytoma, Growth hormone dysfunction, Hyperaldosteronism, Adrenal insufficiency, Parathyroid disease, Stroke, Oral anticoagulation, EHRA position paper
National Category
Cardiac and Cardiovascular Systems
Identifiers
URN: urn:nbn:se:uu:diva-357698DOI: 10.1093/europace/euy051ISI: 000434045400003PubMedID: 29566135OAI: oai:DiVA.org:uu-357698DiVA, id: diva2:1240554
Note

A correction has been published: EP Europace, Volume 20, Issue 6, 1 June 2018, Pages 948, https://doi.org/10.1093/europace/euy103

Available from: 2018-08-21 Created: 2018-08-21 Last updated: 2018-08-21Bibliographically approved

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