Nikolaos Fragakis

Lecturer in Cardiology, MD, FESC

3rd University Cardiology Department

Hippokration Hospital

Thessaloniki

Updated Guidelines

on Atrial Fibrillation

NEW ESC AF Guidelines

Rhythm control

Rate control

Ablation

Anticoagulation

Recommendation for choice of

antiarrhythmic drug for AF control

Antiarrhythmic efficacy of

Dronedarone

Heuzey JE, et al. J Cardiovasc Electrophysiol 2010

ATHENA Study

Recommendations for

Dronedarone for AF control

Antiarrhythmic drugs for AF

Choice of rate and rhythm control

therapy

RATE CONTROL

Fuster et al. JACC 2006 Van Gelder IC, et al. NEJM 2010

Optimal rate control

Recommendations for AF ablation

Recommendations for AF

ablation

*Catheter ablation of symptomatic paroxysmal AF is considered a Class I indication only when

performed by an electrophysiologist who has received appropriate training and is performing the

procedure in an experienced center

Thromboprophylaxis

in AF patients

Clopidogrel and aspirin

recommendations

Focused Update

of the AF Guidelines

Dronedarone

Rate control: RACE II

Catheter ablation

New anticoagulants strategies

You can please all the people some of the time,

and some of the people all the time,

but

you cannot please all the people all the time

Abraham Lincoln

Thank you