EHRA expert consensus document on the management of arrhythmias in frailty syndrome, endorsed by the Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), Latin America Heart Rhythm Society (LAHRS), and Cardiac Arrhythmia Society of Southern Africa (CASSA)

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Savelieva, Irina, Fumagalli, Stefano, Kenny, Rose Anne, Anker, Stefan, Benetos, Athanase, Boriani, Giuseppe, Bunch, Jared, Dagres, Nikolaos, Dubner, Sergio, Fauchier, Laurent et al (show 25 more authors) , Ferrucci, Luigi, Israel, Carsten, Kamel, Hooman, Lane, Deirdre A ORCID: 0000-0002-5604-9378, Lip, Gregory YH ORCID: 0000-0002-7566-1626, Marchionni, Niccolo, Obel, Israel, Okumura, Ken, Olshansky, Brian, Potpara, Tatjana, Stiles, Martin K, Tamargo, Juan, Ungar, Andrea, Kosiuk, Jedrzej, Larsen, Torben Bjerregaard, Dinov, Borislav, Estner, Heidi, Garcia, Rodrigue, Costa, Francisco Manuel Moscoso, Lampert, Rachel, Lin, Yenn-Jiang, Chin, Ashley, Rodriguez, Heliodoro Antonio, Strandberg, Timo and Grodzicki, Tomasz (2023) EHRA expert consensus document on the management of arrhythmias in frailty syndrome, endorsed by the Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), Latin America Heart Rhythm Society (LAHRS), and Cardiac Arrhythmia Society of Southern Africa (CASSA). EUROPACE, 25 (4). pp. 1249-1276.

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Abstract

There is an increasing proportion of the general population surviving to old age with significant chronic disease, multi-morbidity, and disability. The prevalence of pre-frail state and frailty syndrome increases exponentially with advancing age and is associated with greater morbidity, disability, hospitalization, institutionalization, mortality, and health care resource use. Frailty represents a global problem, making early identification, evaluation, and treatment to prevent the cascade of events leading from functional decline to disability and death, one of the challenges of geriatric and general medicine. Cardiac arrhythmias are common in advancing age, chronic illness, and frailty and include a broad spectrum of rhythm and conduction abnormalities. However, no systematic studies or recommendations on the management of arrhythmias are available specifically for the elderly and frail population, and the uptake of many effective antiarrhythmic therapies in these patients remains the slowest. This European Heart Rhythm Association (EHRA) consensus document focuses on the biology of frailty, common comorbidities, and methods of assessing frailty, in respect to a specific issue of arrhythmias and conduction disease, provide evidence base advice on the management of arrhythmias in patients with frailty syndrome, and identifies knowledge gaps and directions for future research.

Item Type:	Article
Uncontrolled Keywords:	European Heart Rhythm Association, Position paper, Consensus document, Frailty, Elderly, Frailty syndrome, Frailty assessment, Frailty domains, Pre-frailty state, Cachexia, Arrhythmias, Atrial fibrillation, Ventricular tachycardia, Heart failure, Stroke, Cognitive impairment, Antiarrhythmic drugs, Anticoagulants, Ablation, Pacemaker, Implantable cardioverter-defibrillator, Cardiac resynchronization therapy, Cardiac resynchronization therapy-defibrillator
Divisions:	Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences
Depositing User:	Symplectic Admin
Date Deposited:	02 Oct 2023 12:55
Last Modified:	02 Oct 2023 12:55
DOI:	10.1093/europace/euac123
Related URLs:	Author Publisher
URI:	https://livrepository.liverpool.ac.uk/id/eprint/3173299