European Heart Rhythm Association (EHRA) position paper on arrhythmia management and device therapies in endocrine disorders, endorsed by Asia Pacific Heart Rhythm Society (APHRS) and Latin American Heart Rhythm Society (LAHRS)

Abstract

Endocrine disorders are associated with various tachyarrhythmias, including atrial fibrillation (AF), ventricular tachycardia (VT), ventricular fibrillation (VF), and bradyarrhythmias. Along with underlying arrhythmia substrate, electrolyte disturbances, glucose, and hormone levels, accompanying endocrine disorders contribute to development of arrhythmia. Arrhythmias may be life-threatening, facilitate cardiogenic shock development and increase mortality. The knowledge on the incidence of tachy- and bradyarrhythmias, clinical and prognostic significance as well as their management is limited; it is represented in observational studies and mostly in case reports on management of challenging cases. It should be also emphasized, that the topic is not covered in detail in current guidelines. Therefore, cardiologists and multidisciplinary teams participating in care of such patients do need the evidence-based, or in case of limited evidence expert-opinion based recommendations, how to treat arrhythmias using contemporary approaches, prevent their complications and recurrence in patients with endocrine disorders. In recognizing this close relationship between endocrine disorders and arrhythmias, the European Heart Rhythm Association (EHRA) convened a Task Force, with representation from Asia-Pacific Heart Rhythm Society (APHRS) and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLAECE), with the remit of comprehensively reviewing the available evidence and publishing a joint consensus document on endocrine disorders and cardiac arrhythmias, and providing up-to-date consensus recommendations for use in clinical practice.

Keywords

Affiliated Institutions

• Université de Tours FR
• Hospital Universitario Virgen de la Arrixaca ES
• Hospital Israelita Albert Einstein BR
• Aarhus University Hospital DK
• Deutsches Herzzentrum München DE
• Azienda Ospedaliera Universitaria Pisana IT
• Azienda Ospedaliero-Universitaria di Modena IT
• St Thomas' Hospital GB
• Eskişehir Osmangazi University TR
• Osypka (Germany) DE
• Fu Wai Hospital CN
• Lyell McEwin Hospital AU
• Renmin Hospital of Wuhan University CN
• Wuhan University CN
• The University of Adelaide AU
• Uppsala University Hospital SE
• University of the Andes VE
• University of Modena and Reggio Emilia IT
• Royal Adelaide Hospital AU
• Aalborg University DK
• University of Birmingham GB
• University of Belgrade RS
• Uppsala University SE
• Carol Davila University of Medicine and Pharmacy RO
• South Australian Health and Medical Research Institute AU
• Chinese Academy of Medical Sciences & Peking Union Medical College CN

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