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Updated: Apr 11, 2026

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
[A structured multidisciplinary approach ensures correct anticoagulation therapy to patients with atrial
Andi Eie Albertsen1, Eric Døssing Mønning, Bent Roni Ranghøj Nielsen
1Hjertemedicinsk Afdeling, Regionshospitalet Viborg, Heibergs Allé 4, 8800 Viborg. andialbe@rm.dk.
Insights
Structured atrial fibrillation (AF) clinics significantly improve anticoagulation treatment adherence. These specialized clinics achieved 99% guideline adherence, compared to 79% in usual care, reducing stroke risk.
Area of Science:
- Cardiology
- Internal Medicine
- Public Health
Background:
- Atrial fibrillation (AF) increases stroke and mortality risk.
- Anticoagulation therapy is crucial for stroke risk reduction in AF patients.
Purpose of the Study:
- To evaluate the effectiveness of structured multidisciplinary AF clinics.
- To assess adherence to anticoagulation guidelines in AF management.
Main Methods:
- Comparative study of a structured multidisciplinary AF clinic versus usual care.
- Analysis of anticoagulation treatment adherence rates based on established guidelines.
Main Results:
- Structured AF clinics achieved 99% guideline-adherent anticoagulation treatment.
- Usual care settings achieved 79% guideline adherence (p < 0.001).
Conclusions:
- Multidisciplinary AF clinics ensure optimal antithrombotic treatment.
- Establishment of AF clinics in Denmark is recommended for guideline adherence.
Abstract:
Atrial fibrillation (AF) is associated with an increased risk of stroke and mortality. Anticoagulation therapy reduces the risk of stroke in patients with AF. In a structured multidisciplinary AF-clinic correct anticoagulation treatment according to guidelines was achieved in 99% (170 out of 172 patients) compared to 79% (143 out of 179 patients) in the "usual care" period (p < 0.001). We propose establishment of structured multidisciplinary AF-clinics in Denmark to ensure optimal antithrombotic treatment and adherence to current guidelines.
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