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2021 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy

European Heart Journal · 2021 · Vol. 42(35) · pp. 3427–3520
Michael GliksonJens Cosedis NielsenMads Brix KronborgYoav MichowitzAngelo AuricchioIsrael Moshe BarbashJosé A. BarrabésGiuseppe BorianiFrieder BraunschweigMichele BrignoleHaran BurriAndrew J.S. CoatsJean‐Claude DeharoVictoria DelgadoGerhard‐Paul DillerCarsten W. IsraelAndre KerenReinoud E. KnopsDipak KotechaChristophe LeclercqBéla MerkelyChristoph StarckIngela ThylénJosé Marı́a TolosanaESC Scientific Document GroupFrancisco LeyvaCecilia LindeMagdy AbdelhamidVictor AboyansElena ArbeloRiccardo AsteggianoGonzalo Barón-EsquiviasJohann BauersachsMauro BiffiUlrika Birgersdotter-GreenMaria Grazia BongiorniMichael A BorgerJelena ČelutkienėMaja CikesJean-Claude DaubertInga DrossartKenneth EllenbogenPerry M ElliottLarissa FabritzVolkmar FalkLaurent FauchierFrancisco Fernández-AvilésDan FoldagerFredrik GadlerPastora Gallego Garcia De VinuesaBulent GorenekJose M GuerraKristina Hermann HaugaaJeroen HendriksThomas KahanHugo A KatusAleksandra KonradiKonstantinos C KoskinasHannah LawBasil S LewisNicholas John LinkerMaja-Lisa LøchenJoost LumensJulia MascherbauerWilfried MullensKlaudia Vivien NagyEva PrescottPekka RaatikainenAmina RakishevaTobias ReichlinRenato Pietro RicciEvgeny ShlyakhtoMarta SitgesMiguel Sousa-UvaRichard SuttonPiotr SuwalskiJesper Hastrup SvendsenRhian M TouyzIsabelle C Van GelderKevin VernooyJohannes WaltenbergerZachary WhinnettKlaus K WitteMads Brix KronborgYoav MichowitzAngelo AuricchioIsrael Moshe BarbashJosé A BarrabésGiuseppe BorianiFrieder BraunschweigMichele BrignoleHaran BurriAndrew J S CoatsJean-Claude DeharoVictoria DelgadoGerhard-Paul DillerCarsten W IsraelAndre KerenReinoud E KnopsDipak KotechaChristophe LeclercqBéla MerkelyChristoph StarckIngela ThylénJosé Maria Tolosana

Abstract

The ESC Guidelines represent the views of the ESC and were produced after careful consideration of the scientific and medical knowledge and the evidence available at the time of their publication. The ESC is not responsible in the event of any contradiction, discrepancy, and/or ambiguity between the ESC Guidelines and any other official recommendations or guidelines issued by the relevant public health authorities, in particular in relation to good use of healthcare or therapeutic strategies. Health professionals are encouraged to take the ESC Guidelines fully into account when exercising their clinical judgement, as well as in the determination and the implementation of preventive, diagnostic, or therapeutic medical strategies; however, the ESC Guidelines do not override, in any way whatsoever, the individual responsibility of health professionals to make appropriate and accurate decisions in consideration of each patient's health condition and in consultation with that patient and, where appropriate and/or necessary, the patient's caregiver. Nor do the ESC Guidelines exempt health professionals from taking into full and careful consideration the relevant official updated recommendations or guidelines issued by the competent public health authorities, in order to manage each patient's case in light of the scientifically accepted data pursuant to their respective ethical and professional obligations. It is also the health professional's responsibility to verify the applicable rules and regulations relating to drugs and medical devices at the time of prescription.

Cardiac pacing and defibrillation studiesCardiac Arrhythmias and TreatmentsCardiac Structural Anomalies and RepairMedicineMedical prescriptionJudgementHealth careHealth professionalsAmbiguityMedical emergencyPublic relationsNursingLaw
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