European Society of Cardiology quality indicators for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death Developed in collaboration with the European Heart Rhythm Association of the European Society of Cardiology - Archive ouverte HAL Access content directly
Journal Articles EP-Europace Year : 2022

European Society of Cardiology quality indicators for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death Developed in collaboration with the European Heart Rhythm Association of the European Society of Cardiology

Suleman Aktaa
Stylianos Tzeis
Michael J. Ackerman
  • Function : Author
Elijah R Behr
  • Function : Author
  • PersonId : 1087633
Andre d'Avila
  • Function : Author
Thomas Denekel
  • Function : Author
Tim Friede
  • Function : Author
  • PersonId : 1096842
Jose L. Merino
  • Function : Author
Chris Semsarian
  • Function : Author
Axel Verstrael
  • Function : Author
Katja Zeppenfeld
  • Function : Author
Jacob Tfelt-Hansen
  • Function : Author
Tobias Reichlin
  • Function : Author

Abstract

Aims To develop a suite of quality indicators (QIs) for the management of patients with ventricular arrhythmias (VA) and the prevention of sudden cardiac death (SCD). Methods and results The Working Group comprised experts in heart rhythm management including Task Force members of the 2022 European Society of Cardiology (ESC) Clinical Practice Guidelines for the management of patients with VA and the prevention of SCD, members of the European Heart Rhythm Association, international experts, and a patient representative. We followed the ESC methodology for QI development, which involves (i) the identification of the key domains of care for the management of patients with VA and the prevention of SCD by constructing a conceptual framework of care, (ii) the development of candidate QIs by conducting a systematic review of the literature, (iii) the selection of the final set of QIs using a modified-Delphi method, and (iv) the evaluation of the feasibility of the developed QIs. We identified eight domains of care for the management of patients with VA and the prevention of SCD: (i) structural framework, (ii) screening and diagnosis, (iii) risk stratification, (iv) patient education and lifestyle modification, (v) pharmacological treatment, (vi) device therapy, (vii) catheter ablation, and (viii) outcomes, which included 17 main and 4 secondary QIs across these domains. Conclusion Following a standardized methodology, we developed 21 QIs for the management of patients with VA and the prevention of SCD. The implementation of these QIs will improve the care and outcomes of patients with VA and contribute to the prevention of SCD.
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hal-03770045 , version 1 (15-02-2024)

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Suleman Aktaa, Stylianos Tzeis, Chris P. Gale, Michael J. Ackerman, Elena Arbelo, et al.. European Society of Cardiology quality indicators for the management of patients with ventricular arrhythmias and the prevention of sudden cardiac death Developed in collaboration with the European Heart Rhythm Association of the European Society of Cardiology. EP-Europace, 2022, ⟨10.1093/europace/euac114⟩. ⟨hal-03770045⟩
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