The 5th New Heart Rhythm Update Symposium will be held in Bucharest, at Crowne Plaza Hotel. Initially, this event treated almost exclusively evolution and challenges in the field of arrhythmia. In recent years, this symposium shows the evolution of the most important aspects of cardiology. Thus, the topics treated have a 360 degree approach - cardiovascular prevention, ischemic heart disease, heart failure, atrial fibrillation and antithrombotic drugs.