Atrial fibrillation through the lens of clinical cases: how ESC guidelines apply to atypical clinical scenarios

Vlasenko O.V.

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Atrial fibrillation through the lens of clinical cases: how ESC guidelines apply to atypical clinical scenarios

November 3, 2026

Vlasenko O.V.

УДК: УДК 616.12-008.313.2

DOI: DOI:10.32471/umj.1680-3051.282173

Keywords :

multidisciplinary team,

thyroid storm,

venoarterial

Resume

This article examines three challenging clinical cases presented at the ESC Congress 2026, illustrating the successful management of atrial fibrillation and atrial flutter in atypical clinical scenarios: thyroid storm, a perigraft hematoma, and a giant left atrial appendage aneurysm. The authors argue that addressing areas of uncertainty in international clinical practice guidelines requires flexibility in applying the CARE pathway, the systematic use of multimodality cardiac imaging, and decision-making by a multidisciplinary team.

References

1. Grijo C. (2026) Refractory atrial fibrillation in thyroid storm causing severe tachycardiomyopathy and cardiogenic shock: bridging to recovery with VA-ECMO and urgent thyroidectomy. ESC Congress 2026, Munich, Germany.
2. Kurowski-Ford A. (2026) Continuing anticoagulation despite incidental peri-graft haematoma after coronary bypass: A guideline gap and multidisciplinary decision. ESC Congress 2026, Munich, Germany.
3. Berrio Becerra C.A. (2026) Giant left atrial appendage aneurysm presenting with cardioembolic stroke: successful surgical resection. ESC Congress 2026, Munich, Germany.