Evaluating the benefits of home-based management of atrial fibrillation: current perspectives.

IF 2.3 Q2 MEDICINE, GENERAL & INTERNAL Pragmatic and Observational Research Pub Date : 2016-10-13 eCollection Date: 2016-01-01 DOI:10.2147/POR.S96670
Azfar B Sheikh, Jamie R Felzer, Abdullah Bin Munir, Daniel P Morin, Carl J Lavie
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Abstract

Atrial fibrillation (AF) is the most common arrhythmia worldwide, leading to an extensive public health and economic burden. The increasing incidence and prevalence of AF is due to the advancing age of the population, structural heart disease, hypertension, diabetes, and thyroid disease. The majority of costs associated with AF have been attributed to the cost of hospitalization. In order to minimize costs and decrease hospitalizations, counseling on modifiable risk factors contributing to AF has been strongly emphasized. With the release of novel oral anticoagulants bypassing the need for anticoagulant bridging or laboratory monitoring, post-discharge nurse-led home intervention, and novel methods of heart rate monitoring, home-based AF management has reached a new level of ease and sophistication. In this review, we aimed to review modifiable risk factors for AF and various methods of home-based management of AF, along with their benefits.

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评估在家治疗心房颤动的益处:当前视角。
心房颤动(房颤)是全球最常见的心律失常,给公众健康和经济造成了巨大负担。心房颤动的发病率和流行率不断上升的原因包括人口老龄化、结构性心脏病、高血压、糖尿病和甲状腺疾病。与心房颤动相关的大部分费用都是住院费用。为了最大限度地降低成本和减少住院次数,针对导致心房颤动的可改变风险因素的咨询受到了高度重视。随着新型口服抗凝剂的推出,绕过了对抗凝剂桥接或实验室监测的需求,出院后由护士主导的家庭干预,以及新颖的心率监测方法,家庭房颤管理的便捷性和复杂性达到了一个新的水平。在这篇综述中,我们旨在回顾心房颤动的可改变风险因素和心房颤动居家管理的各种方法及其益处。
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Pragmatic and Observational Research
Pragmatic and Observational Research MEDICINE, GENERAL & INTERNAL-
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期刊介绍: Pragmatic and Observational Research is an international, peer-reviewed, open-access journal that publishes data from studies designed to closely reflect medical interventions in real-world clinical practice, providing insights beyond classical randomized controlled trials (RCTs). While RCTs maximize internal validity for cause-and-effect relationships, they often represent only specific patient groups. This journal aims to complement such studies by providing data that better mirrors real-world patients and the usage of medicines, thus informing guidelines and enhancing the applicability of research findings across diverse patient populations encountered in everyday clinical practice.
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