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Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
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Construction of a Multidisciplinary Follow-Up Indicator System Based on the ABC Pathway for Patients with Atrial

Xiushan Shi1, Jinyu Zhang2, Bingjie Li1

  • 1Department of Nursing,Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Third Hospital of Shanxi Medical University, Tongji Shanxi Hospital, Taiyuan, 030032, People's Republic of China.

Journal of Multidisciplinary Healthcare
|June 3, 2026
PubMed

Insights

A new indicator system was developed for atrial fibrillation (AF) patients post-ablation, based on the ABC pathway. This system provides a structured framework for essential long-term follow-up care.

Area of Science:

  • Cardiology
  • Nursing Management

Background:

  • Long-term follow-up is crucial for atrial fibrillation (AF) patients after ablation procedures.
  • Current follow-up lacks a structured, operational indicator system tailored for post-ablation AF care.
  • The Atrial Fibrillation Better Care (ABC) pathway is recommended but requires a specific implementation framework.

Purpose of the Study:

  • To develop a multidisciplinary follow-up indicator system for post-ablation AF patients.
  • To operationalize the ABC pathway recommendations into a practical follow-up framework.
  • To establish a consensus-based system for guiding post-ablation AF patient care.

Main Methods:

  • A preliminary indicator pool was created via literature review and patient interviews.
  • A two-round Delphi survey was administered to 23 multidisciplinary experts.
  • Indicators were refined and finalized using consensus criteria and statistical analysis.

Main Results:

  • 23 experts participated, with high response rates (92.0% and 100%).
  • High authority coefficients (0.892 and 0.914) indicated expert consensus.
  • Significant Kendall's W values (P < 0.001) confirmed agreement on indicators.

Conclusions:

  • A preliminary multidisciplinary follow-up indicator system for post-ablation AF patients was successfully developed.
  • The system is based on the ABC pathway, providing a consensus-driven framework.
  • This framework can guide clinical practice and future empirical validation for post-ablation AF care.
Abstract

Keywords:
ABC pathwayDelphi techniqueatrial fibrillationfollow-up indicatorsmultidisciplinary careradiofrequency ablation

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