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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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Integrated Care in Atrial Fibrillation: A Road Map to the Future

Aditya Bhat1,2, Shaun Khanna1, Henry H L Chen1

  • 1Department of Cardiology, Blacktown Hospital, Australia (A.B., S.K., H.H.L.C., A.G., G.C.H.G., A.R.D., T.C.T.).

Circulation. Cardiovascular Quality and Outcomes
|March 5, 2021
PubMed

Insights

Atrial fibrillation (AF) management faces challenges due to suboptimal care. Integrated chronic care models, using multidisciplinary teams and telemedicine, offer a roadmap to improve patient outcomes and bridge care gaps.

Area of Science:

  • Cardiology
  • Public Health
  • Health Services Research

Background:

  • Atrial fibrillation (AF) is a prevalent arrhythmia, increasing with age and associated with significant public health burdens.
  • Current AF care is hampered by low anticoagulation rates, poor symptom management, and inadequate risk factor modification.
  • These care deficits contribute to a widening gap in health outcomes for AF patients.

Purpose of the Study:

  • To review current gaps in atrial fibrillation (AF) care.
  • To explore the role of integrated chronic care models in addressing these management fragmentations.
  • To highlight strategies for improving AF patient outcomes.

Main Methods:

  • This is a review article.
  • It synthesitsizes current literature on AF care gaps and integrated chronic care models.
  • Focuses on multidisciplinary team care, nurse-led clinics, and telemedicine.

Main Results:

  • Integrated chronic care models show promise in addressing AF management shortfalls.
  • Multidisciplinary teams, nurse-led clinics, and telemedicine are key components.
  • These models are expected to enhance AF-related health outcomes.

Conclusions:

  • Integrated chronic care models provide a framework for optimizing atrial fibrillation management.
  • Addressing care gaps through these models is crucial for reducing public health burden.
  • Future expansion of these programs is anticipated to improve AF patient care and outcomes.

Keywords:
anticoagulantsatrial fibrillationchronic diseasedelivery of health careheart diseases

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