Arrhythmias & electrophysiologyResearch article

Atrial fibrillation burden: a new outcome predictor and therapeutic target

Eur Heart JPublished

  • Narrative review

Authors' conclusion

In addition to anticoagulation and treatment of cardiovascular conditions, AF burden reduction emerges as a therapeutic goal.

Study context

Population
Patients with atrial fibrillation (AF)
Comparison
Device-detected AF, low AF burden vs Paroxysmal AF vs Persistent and permanent AF

Main finding

As reported in the abstract

Stroke rate without anticoagulation, by AF type and burden

Device-detected AF, low AF burden

1%/year

Paroxysmal AF

2%/year

Persistent and permanent AF

3%/year

Further findings

AF burden-reducing interventions

Early rhythm control reduces CV events incl. stroke and HF in recently diagnosed AF with CV conditions
In HF and AF, early rhythm control and AF ablation reduce mortality and HF events

Original publication

Atrial fibrillation burden: a new outcome predictor and therapeutic target. Eur Heart J. Published 2 July 2024. doi:10.1093/eurheartj/ehae373

Summarised from the published abstract; every number is checked against it