Cardio-oncology & other

Contemporary management of atrial fibrillation in patients with cancer—the 2025 European Heart Rhythm Association survey

EuropacePublished Cross-sectional study

Authors' conclusion

The survey revealed that, despite the lack of robust evidence specific to this patient cohort, contemporary treatment of AF in patients with active cancer or a history of cancer therapy generally follows guidelines developed for the broader AF population.

Study context

Population
Physicians managing atrial fibrillation (AF) in patients with active cancer or a history of cancer therapy
Participants
380 physicians · 74 countries
Exposure
Active cancer vs History of cancer therapy
Outcome
Current clinical practices in diagnosis and management of AF in patients with active cancer or a history of cancer therapy
Methodological detailsphysician-based survey, 25-item questionnaire, electronic dissemination, Developed by EHRA with ESC Council of Cardio-Oncology and International Cardio-Oncology Society
  • Physician-based survey
  • 25-item questionnaire
  • Electronic dissemination
  • Developed by EHRA with ESC Council of Cardio-Oncology and International Cardio-Oncology Society

Main finding

As reported in the abstract

AF management practices
Respondents: electrophysiologists
30%
Respondents: general cardiologists
25%
Respondents: cardio-oncologists
22%
Active cancer 'definitely' or 'most probably' influenced AF decisions
Nearly two-thirds
History of cancer therapy 'definitely' or 'most probably' influenced AF decisions
A little over 40%
History of cancer therapy: rhythm control most common strategy
40%

Observational data: associations, not effects.

Original publication

Contemporary management of atrial fibrillation in patients with cancer—the 2025 European Heart Rhythm Association survey. Europace. Published 19 February 2026. doi:10.1093/europace/euaf325

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

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