Cardiac tachyarrhythmias and patient values and preferences for their management: the European Heart Rhythm Association (EHRA) consensus document endorsed by the Heart Rhythm Society (HRS), Asia Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLEACE)
Open accessAbstract
Cardiac tachyarrhythmias are recurrent or chronic and in some cases life-threatening conditions. Heart rhythm disturbances are of-ten highly symptomatic and the psychological impact of the disease can be significant. Patients’ beliefs and knowledge about their health(and illness), medications, and healthcare they receive are important determinants of whether or not they accept recommended treatments; influence their coping responses to their illness and treatment; adherence to recommended therapy; and ultimately affects health outcomes. Incorporation of patients’ values and preferences for therapy should now be considered as an integral part of the decision-making process and treatment strategy.It is important to acknowledge and understand the impact of cardiac tachyarrhythmias on the patient. To address this issue, a TaskForce was convened by the European Heart Rhythm Association (EHRA), and endorsed by the Heart Rhythm Society (HRS),Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoa-mericana de Estimulacio ́n Cardı ́aca y Electrofisiologı ́a (SOLEACE),with the remit to comprehensively review the published evidenceavailable, to publish a joint consensus document on patient valuesand preferences for the management of cardiac tachyarrhythmias, and to provide up-to-date consensus recommendations for use in clinical practice. Hence this unique consensus document focuses on patients, summarizing the available literature on patients’ experiences of living with various cardiac tachyarrhythmias and their treatment preferences,and identifies gaps in knowledge which will help to inform clinical practice and future research. The document will also summarize key points for discussions with patients during consultations regarding their condition, treatment options, disease trajectory, treatment goals, and outcomes. Finally, this document provides links to useful resources and patient advocacy groups and organizations and professional societies relevant to each group of cardiac tachyarrhythmias.
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Available evidence on patient experiences of supraventricular tachycardia has recently been reviewed in a European Heart Rhythm Association position document.
“The available evidence on patient's experiences of SVT has recently been reviewed in a European Heart Rhythm Association (EHRA) position document.419”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [419]
Advice and recommendations for key discussion points between physicians and patients with supraventricular tachycardia have recently been outlined in another European Heart Rhythm Association document.
“Advice and recommendations for key discussion points between physicians and patients with SVT have recently been outlined in another EHRA document.419”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [419]
One of the main goals of treatment for supraventricular tachycardia is to reduce symptoms and improve quality of life.
“One of the main goals of treatment for SVT is to reduce symptoms and improve QoL.1,2,419”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [419]
Consequently, patients with supraventricular tachycardia may restrict normal daily and leisure activities and may be unable to initiate or continue certain high-risk occupations or drive, all of which can adversely affect quality of life.
“Consequently, patients with SVT may restrict their normal daily and leisure activities (social events, sports, and sexual relationships), 16,419 and may be unable to initiate or continue certain 'high-risk' occupations (flying, competitive athletics etc.) 1,2,419 or drive, 422,423 all of which can adversely affect a patient's QoL.”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [419]
Limitations to participation in social activities and driving are most frequently reported and appear to have the greatest negative impact on quality of life.
“Limitations to participation in social activities and driving are most frequently reported and appear to have the greatest negative impact on QoL. 419”
From European Heart Rhythm Association (EHRA) consensus document on the management of supraventricular arrhythmias, endorsed by Heart Rhythm Society (HRS), Asia-Pacific Heart Rhythm Society (APHRS), and Sociedad Latinoamericana de Estimulacion Cardiaca y Electrofisiologia (SOLAECE) (2017) · cites this paper as [419]
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- Authors
- Lane, D. A., Aguinaga, L., Blomström-Lundqvist, C., Boriani, G., Dan, G.-A., Hills, M. T., Hylek, E. M., LaHaye, S. A., Lip, G. Y. H., Lobban, T., Mandrola, J., McCabe, P. J., Pedersen, S. S., Pisters, R., Stewart, S., Wood, K., Potpara, T. S., Reviewers, D., Gorenek, B., Conti, J. B., Keegan, R., Power, S., Hendriks, J., Ritter, P., Calkins, H., Violi, F., & Hurwitz, J.
- ORCID
- Lane, Deirdre A.
- Boriani, Giuseppe
- Hills, Mellanie True
- Hylek, Elaine M.
- Lip, Gregory Y.H.
- Mandrola, John
- McCabe, Pamela J.
- Pedersen, Susanne S.
- Pisters, Ron
- Stewart, Simon
- Wood, Kathryn
- Potpara, Tatjana S.
- Conti, Jamie Beth
- Keegan, Roberto
- Hendriks, Jeroen
- Ritter, Philippe
- Calkins, Hugh
- Violi, Francesco
- Hurwitz, Jodie
- Venue
- Europace
- Publisher
- Oxford University Press (OUP)
- Published
- 2015-06-24
- Volume
- 17
- Issue
- 12
- Pages
- 1747-1769
- ISSN
- 1099-5129 (ISSN-L)
- 1532-2092
- OpenAlex
- W2153724592
- Cited by
- 142
- References
- 240
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 6 · 2023: 6 · 2022: 11 · 2021: 13 · 2020: 12 · 2019: 13 · 2018: 20 · 2017: 27 · 2016: 20 · 2015: 7
- FWCI
- 17.89
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- cc-by
- Locations
- EP Europace (publishedVersion)
- Tilburg University Research Portal (publishedVersion)
- Research portal (Tilburg University) (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Research Publications (Maastricht University) (submittedVersion)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
- HighWire Press Open Archive (submittedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion)
- University of Southern Denmark Research Portal (University of Southern Denmark) (submittedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Arrhythmias and Treatments
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Keywords
- cardiac tachyarrhythmias, patient values, patient preferences, shared decision-making, patient experience, medication adherence, patient-centered care, patient advocacy, clinical guidelines
- MeSH terms
- Arrhythmias, Cardiac, Cardiology, Decision Making, Humans, Health Knowledge, Attitudes, Practice, Patient Education as Topic, Quality of Life, Treatment Outcome, Cost of Illness, Patient-Centered Care, Consensus, Patient Preference
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