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Updated: Feb 3, 2026
28:13
Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
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Shared decision-making in atrial fibrillation: navigating complex issues in partnership with the patient
Peter A Noseworthy1,2,3, Juan P Brito4,5, Marleen Kunneman4
1Knowledge and Evaluation Research Unit, Mayo Clinic, Rochester, MN, USA. Noseworthy.Peter@mayo.edu.
Summary
Shared decision-making (SDM) is recommended to personalize antithrombotic care for atrial fibrillation (AF) patients. This approach aims to improve treatment adherence by considering individual risks and patient context.
Area of Science:
- Cardiology
- Public Health
Background:
- Atrial fibrillation (AF) significantly increases stroke risk.
- Many high-risk AF patients remain untreated with anticoagulation, and adherence is poor.
- Treatment decisions involve complex factors like risks, costs, and lifestyle impacts.
Purpose of the Study:
- To highlight the importance of shared decision-making (SDM) in AF antithrombotic therapy.
- To align with recent American guidelines recommending SDM for personalized patient care.
- To improve the quality of care and treatment adherence in AF patients.
Main Methods:
- Review of current American guidelines on AF management.
- Emphasis on the principles of shared decision-making (SDM).
- Discussion of patient-centered approaches considering stroke, bleeding risks, and socio-personal context.
Main Results:
- Recent guidelines strongly recommend SDM for individualizing antithrombotic care in AF.
- SDM promotes decisions reflecting patient-specific risks and preferences.
- Potential for improved treatment initiation and adherence.
Conclusions:
- Shared decision-making (SDM) is crucial for optimizing antithrombotic therapy in atrial fibrillation.
- Further research is needed to validate patient-oriented tools supporting SDM.
- SDM can enhance patient-centered care and treatment adherence.
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