Related Experiment Video

Updated: Aug 22, 2025

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
28:13

Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation

Published on: February 26, 2013

33.5K

Atrial Fibrillation Better Care Pathway Adherent Care Improves Outcomes in Chinese Patients With Atrial Fibrillation

Yutao Guo1,2, Jacopo F Imberti2,3, Agnieszka Kotalczyk2,4

  • 1Department of Pulmonary Vessel and Thrombotic Disease, Sixth Medical Centre, Chinese PLA General Hospital, Beijing, China.

JACC. Asia
|November 7, 2022
PubMed

Insights

Adherence to the Atrial fibrillation Better Care (ABC) pathway in Chinese patients was suboptimal but associated with significantly lower risks of death or thromboembolic events. This integrated care approach improves atrial fibrillation outcomes.

Area of Science:

  • Cardiology
  • Internal Medicine
  • Public Health

Background:

  • Atrial fibrillation (AF) is a complex condition with significant comorbidities and adverse outcomes.
  • The Atrial fibrillation Better Care (ABC) pathway offers a structured, integrated approach to managing AF.
  • Evaluating the real-world application and impact of the ABC pathway is crucial for optimizing patient care.

Purpose of the Study:

  • To assess patient characteristics and adverse event incidence within the ABC pathway framework.
  • To evaluate the impact of ABC pathway-adherent management on 1-year outcomes in Chinese AF patients.
  • To determine the association between ABC pathway adherence and adverse cardiovascular events.

Main Methods:

  • Analysis of consecutive AF patients from the nationwide ChioTEAF registry (2014-2018).
  • Inclusion of 3,520 patients with data for ABC criteria and 1-year follow-up.
  • Comparison of outcomes between patients managed according to the ABC pathway and those not.

Main Results:

  • 41.1% of patients (1,448) were managed according to the ABC pathway.
  • ABC-adherent patients were younger with lower HAS-BLED scores.
  • Adherence to the ABC pathway was associated with a significantly lower incidence of all-cause death or thromboembolic events (1.5% vs 3.6%; P < 0.01).
  • ABC pathway-adherent care independently predicted a reduced risk of the composite endpoint (OR: 0.51; 95% CI: 0.31-0.84).

Conclusions:

  • Adherence to the ABC pathway in Chinese AF patients was suboptimal.
  • Clinical management aligned with the ABC pathway demonstrated improved patient outcomes.
  • The findings underscore the importance of the ABC pathway for integrated AF care and better results.
Abstract

Keywords:
ABCABC, Atrial fibrillation Better Care pathwayACE, angiotensin-converting enzymeAF, atrial fibrillationARB, angiotensin receptor blockerChinese populationOAC, oral anticoagulation/anticoagulantTE, thromboembolismatrial fibrillationatrial fibrillation better careholistic careintegrated caremultidisciplinary care

More Related Videos

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology10:46

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology

Published on: May 26, 2015

13.4K
The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation23:33

The WATCHMAN Left Atrial Appendage Closure Device for Atrial Fibrillation

Published on: February 28, 2012

83.8K

Related Concept Videos

Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
22
Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
22
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
19
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
617
Patient-centered Care01:13

Patient-centered Care

Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
27