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. 2025 Apr 16;27(Suppl 3):iii54-iii59.
doi: 10.1093/eurheartjsupp/suaf016. eCollection 2025 Mar.

Upgrade on atrial fibrillation ablation in the new ESC Guidelines

Silvia Magnani  1 , Hussam Ali  1 , Riccardo Cappato  1
Affiliations

Upgrade on atrial fibrillation ablation in the new ESC Guidelines

Silvia Magnani et al. Eur Heart J Suppl. .

Abstract

Clinical guidelines (GLs) are crafted by professional medical societies with the primary goal of supporting healthcare providers in making informed decisions during routine clinical practice. These GLs serve as practical tools, offering evidence-based recommendations that help clinicians navigate complex scenarios in patient care. By synthesizing the latest scientific evidence and expert consensus, they provide a structured framework for diagnosing, managing, and preventing various medical conditions. This ensures that clinical decision-making is consistent, effective, and aligned with current best practices, ultimately promoting high-quality care and better patient outcomes in everyday healthcare settings. This paper aims to emphasize the importance of updating the European Society of Cardiology 2020 GLs, particularly in light of advances and evolving evidence in the management of atrial fibrillation (AF). It examines the key updates introduced in the 2024 GLs, with a specific focus on AF ablation, highlighting the changes and advancements that address gaps or enhance clinical practices. Additionally, the paper explores potential future directions for refining these GLs, considering emerging research, evolving technologies, and practical challenges in their implementation including new editing methods.

Keywords: Atrial fibrillation; Catheter ablation; Guidelines.

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Conflict of interest statement

Conflict of interest: none declared.

References

    1. Van Gelder IC, Rienstra M, Bunting KV, Casado-Arroyo R, Caso V, Crijns HJGM et al. 2024 ESC guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS). Eur Heart J 2024;45:3314–3414. - PubMed
    1. Hindricks G, Potpara T, Dagres N, Arbelo E, Bax JJ, Blomström-Lundqvist C et al. 2020 ESC guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS): the task force for the diagnosis and management of atrial fibrillation of the European Society of Cardiology (ESC) developed with the special contribution of the European Heart Rhythm Association (EHRA) of the ESC. Eur Heart J 2021;42:373–498. - PubMed
    1. Calkins H, Reynolds MR, Spector P, Sondhi M, Xu Y, Martin A et al. Treatment of atrial fibrillation with antiarrhythmic drugs or radiofrequency ablation: two systematic literature reviews and meta-analyses. Circ Arrhythm Electrophysiol 2009;2:349–361. - PubMed
    1. Andrade JG, Wazni OM, Kuniss M, Hawkins NM, Deyell MW, Chierchia GB et al. Cryoballoon ablation as initial treatment for atrial fibrillation: JACC state-of-the-art review. J Am Coll Cardiol 2021;78:914–930. - PubMed
    1. Kuck KH, Lebedev DS, Mikhaylov EN, Romanov A, Gellér L, Kalējs O et al. Catheter ablation or medical therapy to delay progression of atrial fibrillation: the randomized controlled atrial fibrillation progression trial (ATTEST). Europace 2021;23:362–369. - PMC - PubMed

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