Atrial fibrillation: stroke prevention

Area of Science:

• Cardiology
• Preventive Medicine
• Geriatrics

Background:

• Atrial fibrillation (AF) management prioritizes stroke prevention.
• A shift towards holistic and integrative care models is evident.
• The Atrial Fibrillation Better Care (ABC) pathway offers a structured approach.

Purpose of the Study:

• To review current evidence on stroke prevention in AF patients.
• To highlight the importance of a holistic management strategy.
• To update on risk assessment, anticoagulation, and special populations.

Main Methods:

• Review of published evidence on AF management and stroke prevention.
• Analysis of the components of the ABC pathway.
• Discussion of risk assessment, direct oral anticoagulants (DOACs), and lifestyle factors.

Main Results:

• Holistic management based on the ABC pathway is associated with reduced stroke and adverse event risk.
• Regular risk and bleeding risk assessment are crucial for effective stroke prevention.
• Controlling comorbidities and promoting healthy lifestyles enhance clinical outcomes.

Conclusions:

• Evidence-based, structured management of AF, incorporating holistic care, is key to reducing stroke risk.
• Dynamic risk assessment and mitigation of modifiable risk factors are essential.
• Digital health solutions show promise in improving AF patient management and stroke prevention.