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Volume 11
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10.3390/jcdd11040109
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Article

Aggressive Rhythm Control Strategy in Atrial Fibrillation Patients Presenting at the Emergency Department: The HEROMEDICUS Study Design and Initial Results

by
Dimitrios Tsiachris
*,
Nikos Argyriou
,
Panagiotis Tsioufis
,
Christos Konstantinos Antoniou
,
Aggeliki Laina
,
George Oikonomou
,
Ioannis Doundoulakis
,
Athanasios Kordalis
,
Kyriakos Dimitriadis
,
Konstantinos Gatzoulis
and
Konstantinos Tsioufis
First Department of Cardiology, School of Medicine, Hippokration General Hospital, National and Kapodistrian University of Athens, 11527 Athens, Greece
*
Author to whom correspondence should be addressed.
J. Cardiovasc. Dev. Dis. 2024, 11(4), 109; https://doi.org/10.3390/jcdd11040109
Submission received: 7 January 2024 / Revised: 26 March 2024 / Accepted: 26 March 2024 / Published: 31 March 2024
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Abstract

Atrial fibrillation has progressively become a more common reason for emergency department 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 the emergency department varies between countries and healthcare systems. The most plausible reason to justify a conservative rather than an 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 the emergency department can be treated safely and effectively, avoiding admission. In the present study, we present the epidemiology and characteristics of atrial fibrillation patients presenting to the emergency department, 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 will be presented, which constitutes an electrophysiology-based aggressive rhythm control strategy in patients with atrial fibrillation in the emergency department setting.
Keywords: atrial fibrillation; emergency department; cardioversion; flecainide; electrical cardioversion atrial fibrillation; emergency department; cardioversion; flecainide; electrical cardioversion

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MDPI and ACS Style

Tsiachris, D.; Argyriou, N.; Tsioufis, P.; Antoniou, C.K.; Laina, A.; Oikonomou, G.; Doundoulakis, I.; Kordalis, A.; Dimitriadis, K.; Gatzoulis, K.; et al. Aggressive Rhythm Control Strategy in Atrial Fibrillation Patients Presenting at the Emergency Department: The HEROMEDICUS Study Design and Initial Results. J. Cardiovasc. Dev. Dis. 2024, 11, 109. https://doi.org/10.3390/jcdd11040109

AMA Style

Tsiachris D, Argyriou N, Tsioufis P, Antoniou CK, Laina A, Oikonomou G, Doundoulakis I, Kordalis A, Dimitriadis K, Gatzoulis K, et al. Aggressive Rhythm Control Strategy in Atrial Fibrillation Patients Presenting at the Emergency Department: The HEROMEDICUS Study Design and Initial Results. Journal of Cardiovascular Development and Disease. 2024; 11(4):109. https://doi.org/10.3390/jcdd11040109

Chicago/Turabian Style

Tsiachris, Dimitrios, Nikos Argyriou, Panagiotis Tsioufis, Christos Konstantinos Antoniou, Aggeliki Laina, George Oikonomou, Ioannis Doundoulakis, Athanasios Kordalis, Kyriakos Dimitriadis, Konstantinos Gatzoulis, and et al. 2024. "Aggressive Rhythm Control Strategy in Atrial Fibrillation Patients Presenting at the Emergency Department: The HEROMEDICUS Study Design and Initial Results" Journal of Cardiovascular Development and Disease 11, no. 4: 109. https://doi.org/10.3390/jcdd11040109

APA Style

Tsiachris, D., Argyriou, N., Tsioufis, P., Antoniou, C. K., Laina, A., Oikonomou, G., Doundoulakis, I., Kordalis, A., Dimitriadis, K., Gatzoulis, K., & Tsioufis, K. (2024). Aggressive Rhythm Control Strategy in Atrial Fibrillation Patients Presenting at the Emergency Department: The HEROMEDICUS Study Design and Initial Results. Journal of Cardiovascular Development and Disease, 11(4), 109. https://doi.org/10.3390/jcdd11040109

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