Hypertension and cardiac arrhythmias: a consensus document from the European Heart Rhythm Association (EHRA) and ESC Council on Hypertension, endorsed by the Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS) and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLEACE)

EP Europace, Jun 2017

Hypertension is a common cardiovascular risk factor leading to heart failure (HF), coronary artery disease, stroke, peripheral artery disease and chronic renal insufficiency. Hypertensive heart disease can manifest as many cardiac arrhythmias, most commonly being atrial fibrillation (AF). Both supraventricular and ventricular arrhythmias may occur in hypertensive patients, especially in those with left ventricular hypertrophy (LVH) or HF. Also, some of the antihypertensive drugs commonly used to reduce blood pressure, such as thiazide diuretics, may result in electrolyte abnormalities (e.g. hypokalaemia, hypomagnesemia), further contributing to arrhythmias, whereas effective control of blood pressure may prevent the development of the arrhythmias such as AF. In recognizing this close relationship between hypertension and arrhythmias, the European Heart Rhythm Association (EHRA) and the European Society of Cardiology (ESC) Council on Hypertension convened a Task Force, with representation from the Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLEACE), with the remit to comprehensively review the available evidence to publish a joint consensus document on hypertension and cardiac arrhythmias, and to provide up-to-date consensus recommendations for use in clinical practice. The ultimate judgment regarding care of a particular patient must be made by the healthcare provider and the patient in light of all of the circumstances presented by that patient.

A PDF file should load here. If you do not see its contents the file may be temporarily unavailable at the journal website or you do not have a PDF plug-in installed and enabled in your browser.

Alternatively, you can download the file locally and open with any standalone PDF reader:

https://academic.oup.com/europace/article-pdf/19/6/891/19592174/eux091.pdf

Hypertension and cardiac arrhythmias: a consensus document from the European Heart Rhythm Association (EHRA) and ESC Council on Hypertension, endorsed by the Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS) and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLEACE)

Hypertension and cardiac arrhythmias: a consensus document from the European Heart Rhythm Association (EHRA) and ESC Council on Hypertension, endorsed by the Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS) and Sociedad Latinoamericana de Estimulacion Cardıaca y Electrofisiologıa (SOLEACE) Gregory Y.H. Lip 11 12 21 23 Marın 11 12 21 23 Oliveira Figueiredo 11 12 21 23 Reviewers: Gheorghe-Andrei Dan 11 12 21 23 Irina 11 12 21 23 0 Eskisehir Osmangazi University , Eskisehir , Turkey 1 Institute of Cardiovascular Science, University College London , UK 2 Colentina University Hospital, Medicine Faculty, University of Medicine “Carol Davila”-Bucharest Romania 3 Cardiac Electrophysiology, Division of Cardiology, University of Colorado School of Medicine , Aurora, CO , USA 4 Division of Cardiology, Taipei Veterans General Hospital, National Yang-Ming University , Taipei , Taiwan 5 Cardiology Department, Medicine School, State University of Campinas , Sao Paulo , Brazil 6 Department of Translational Medical Sciences, Federico II University Hospital , via S. Pansini 5, bld 7 Electrophysiology and Cardiac Devices, Department of Cardiology, University Heart Center Zurich; Zurich , Switzerland 8 Department of Cardiology, Hospital Universitario Virgen de la Arrixaca, IMIB-Arrixaca, University of Murcia , Murcia , Spain 9 St George's University Of London , London , UK 10 Centre Hospitalier Universitaire Trousseau , Tours , France 11 , Bulent Gorenek 12 , Marcio Jansen de 13 1 , Napoli 80131 , Italy 14 National Cardiovascular Institute , NUSCH, Bratislava , Slovak Republic 15 University of Groningen, University Medical Center Groningen , Groningen , The Netherlands 16 University Medical Centre, Hypertension Department, Hospital Dr. Peter Drzaja , Ljubljana , Slovenia 17 Istanbul University Cerrahpasa Medical School, Head of Hypertension Department , Istanbul , Turkey 18 Clinic for internal disease Intermedica, Cardiology department-Hypertension centere , Serbia 19 Korea University Medical Center , Seoul , Korea 20 Clınica Delgado , Miraflores, Pe ́rou 21 , Robert Hatala 22 University of Wisconsin, Clinical Science Center , Madison , USA 23 , Laurent Fauchier 24 Hypertension and Vascular Risk Unit, Department of Internal Medicine, Hospital Clınic (IDIBAPS), University of Barcelona , Barcelona , Spain 25 Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Aalborg University , Aalborg , Denmark 26 Institute of Cardiovascular Sciences, University of Birmingham , UK 27 School of Medicine, Cardiology Clinic, Clinical Centre of Serbia, Belgrade University , Belgrade , Serbia 28 Third Department of Cardiology, Athens University School of Medicine , Athens , Greece 29 Cardiology Department, University of Modena and Reggio Emilia, Policlinico di Modena , Modena , Italy 30 Department of Cardiology, Danderyd University Hospital Corp , Stockholm , Sweden 31 Karolinska Institutet Department of Clinical Sciences, Danderyd Hospital , Stockholm , Sweden 32 Department of Cardiology, Memorial Ankara Hospital, Heart and Health Foundation of Turkey , Ankara , Turkey 33 Department of Internal Medicine, Holbaek Hospital and Centre for Individualized Medicine in Arterial Diseases (CIMA), Odense University Hospital, University of Southern Denmark , Denmark Corresponding author. Tel: þ44 121 5075080; fax: þ44 121 507 5503. E-mail address: Published on behalf of the European Society of Cardiology. All rights reserved. VC The Author 2017. For permissions, please email: . DOCUMENT 3 , Antonio Coca , Thomas Kahan 4,5 6 , Giuseppe Boriani , 10 15 Giovanni de Simone , Wendy S. Tzou , Chern-En Chiang , and Bryan Williams 16 18 Savelieva Erdine , Isabelle van Gelder , Jana Brguljan-Hitij , Serap 27 , Dragan Lovic , Young-Hoon Kim , Jorge Salinas-Arce , Michael Field 28 23 19 13 24 20 17 29 Hypertension is a common cardiovascular risk factor leading to heart failure (HF), coronary artery disease, stroke, peripheral artery disease and chronic renal insufficiency. Hypertensive heart disease can manifest as many cardiac arrhythmias, most commonly being atrial fibrillation (AF). Both supraventricular and ventricular arrhythmias may occur in hypertensive patients, especially in those with left ventricular hypertrophy (LVH) or HF. Also, some of the antihypertensive drugs commonly used to reduce blood pressure, such as thiazide diuretics, may result in electrolyte abnormalities (e.g. hypokalaemia, hypomagnesemia), further contributing to arrhythmias, whereas effective control of blood pressure may prevent the development of the arrhythmias such as AF. In recognizing this close relationship between hypertension and arrhythmias, the European Heart Rhythm Association (EHRA) and the European Society of Cardiology (ESC) Council on Hypertension convened a Task Force, with representation from the Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardıaca y E (...truncated)


This is a preview of a remote PDF: https://academic.oup.com/europace/article-pdf/19/6/891/19592174/eux091.pdf

Lip, Gregory Y. H., Coca, Antonio, Kahan, Thomas, Boriani, Giuseppe, Manolis, Antonis S., Olsen, Michael Hecht, Oto, Ali, Potpara, Tatjana S., Steffel, Jan, Marín, Francisco, de Oliveira Figueiredo, Márcio Jansen, de Simone, Giovanni, Tzou, Wendy S., Chiang, Chern-En, Williams, Bryan, Dan, Gheorghe-Andrei, Gorenek, Bulent, Fauchier, Laurent, Savelieva, Irina, Hatala, Robert, van Gelder, Isabelle, Brguljan-Hitij, Jana, Erdine, Serap, Lovič, Dragan, Kim, Young-Hoon, Salinas-Arce, Jorge, Field, Michael. Hypertension and cardiac arrhythmias: a consensus document from the European Heart Rhythm Association (EHRA) and ESC Council on Hypertension, endorsed by the Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS) and Sociedad Latinoamericana de Estimulación Cardíaca y Electrofisiología (SOLEACE), EP Europace, 2017, pp. 891-911, Volume 19, Issue 6, DOI: 10.1093/europace/eux091