Screening and management of atrial fibrillation in primary care

Shiva P Ponamgi1, Konstantinos C Siontis2, David R Rushlow3

  • 1Division of Hospital Internal Medicine, Mayo Clinic Health System, Austin, MN, USA.

BMJ (Clinical Research Ed.)
|April 13, 2021
PubMed

Insights

Atrial fibrillation (AF) management is complex, impacting multi-morbidity and stroke risk. This review offers a model for integrating AF care components, from diagnosis to treatment, for primary care physicians.

Area of Science:

  • Cardiology
  • Primary Care Medicine
  • Public Health

Background:

  • Atrial fibrillation (AF) is a prevalent chronic condition managed across diverse healthcare settings.
  • AF presents multifaceted challenges, acting as a consequence of multi-morbidity, a stroke risk factor, and an indicator of acute illness.
  • Primary care physicians (PCPs) play a crucial role in navigating AF care complexities.

Purpose of the Study:

  • To provide a comprehensive overview of atrial fibrillation epidemiology, screening, and risk assessment.
  • To discuss management strategies for AF symptoms, including rate and rhythm control.
  • To present a model for integrating various components of AF care for improved patient outcomes.

Main Methods:

  • Literature review of epidemiology, screening, risk assessment, and management of atrial fibrillation.
  • Analysis of current therapeutic agents and procedures for AF.
  • Development of an integrated care model for atrial fibrillation.

Main Results:

  • Atrial fibrillation requires a multifaceted approach considering its impact on co-existing conditions and stroke risk.
  • Effective AF management involves judicious diagnostic testing and novel therapeutic options.
  • Integration of care components is essential for addressing patient needs in primary care.

Conclusions:

  • A coordinated approach to atrial fibrillation care is vital for optimizing patient management.
  • Primary care physicians require resources and expertise to effectively manage atrial fibrillation.
  • The proposed integrated model aims to streamline AF care delivery and improve clinical outcomes.

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