Key result
HEROMEDICUS protocol evaluates an aggressive EP-based rhythm control strategy for AF in the ED.
Why the study?
Atrial fibrillation increasingly leads to emergency department visits and high admission rates, prompting the need for more efficient acute management amid varying practice patterns and lack of specific society guidelines.
Does an electrophysiology-based aggressive rhythm control strategy improve management and avoid hospital admissions in atrial fibrillation patients presenting to the emergency department?
Does an electrophysiology-based aggressive rhythm control strategy improve management and avoid hospital admissions in atrial fibrillation patients presenting to the emergency department?
The HEROMEDICUS protocol aims to evaluate an electrophysiology-based aggressive rhythm control strategy to safely manage atrial fibrillation in the emergency department and avoid hospital admissions.
HEROMEDICUS protocol may guide future ED AF strategies; leaves open whether aggressive rhythm control avoids admissions.
Atrial fibrillation has progressively become a more common reason for emergency de-partment visits, representing 0.5% of presenting reasons. Registry data have indicated that about 60% of atrial fibrillation patients who present to the emergency department are admitted, emphasizing the need for more-efficient management of atrial fibrillation in the acute phase. Management of atrial fibrillation in the setting of emergency department varies between countries and health care systems. The most plausible reason to justify a conservative rather than aggressive strategy in the management of atrial fibrillation is the absence of specific guidelines from diverse societies. Several trials of atrial fibrillation treatment strategies, including cardioversion, have demonstrated that atrial fibrillation in emergency department can be treated safely and effectively, avoiding admission. In the present study, we review the epidemiology and characteristics of atrial fibrillation pa-tients presenting to the emergency department will be reviewed, as well as the impact of diverse management strategies on atrial fibrillation-related hospital admissions. Lastly, the design and initial data of the HEROMEDICUS protocol, which constitutes an elec-trophysiology-based aggressive rhythm control strategy in patients with atrial fibrillation in the emergency department setting will be presented.
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Tsiachris et al. (2024) studied Atrial fibrillation. Electrophysiology-based aggressive rhythm control strategy (HEROMEDICUS protocol) was evaluated. The HEROMEDICUS protocol evaluates an electrophysiology-based aggressive rhythm control strategy for atrial fibrillation in the emergency department, though specific quantitative results are not reported.
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