Arrhythmias & electrophysiology

Atrial fibrillation burden in clinical practice, research, and technology development: a clinical consensus statement of the European Society of Cardiology Council on Stroke and the European Heart Rhythm Association

EuropacePublished Clinical consensus statement

Methodological detailsmodified Delphi technique
  • Modified Delphi technique

Recommendations

As issued by the authors

  1. Atrial fibrillation (AF) burden is defined as the proportion of time spent in AF expressed as a percentage of the recording time, undertaken during a specified monitoring duration.

  2. A continuous or near-continuous monitoring duration is required for valid, comparable AF burden assessment and must be reported with the AF burden.

  3. The unified definition applies independent of comorbidities and outcomes; disease-specific actionable thresholds need to be defined according to targeted clinical outcomes in specific populations.

  4. The duration of the longest episode of uninterrupted AF, expressed as a time duration, should also be reported when appropriate.

Original publication

Atrial fibrillation burden in clinical practice, research, and technology development: a clinical consensus statement of the European Society of Cardiology Council on Stroke and the European Heart Rhythm Association. Europace. Published 12 March 2025. doi:10.1093/europace/euaf019

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