The pathway to diagnosis and follow-up care for atrial fibrillation in Sri Lanka: a descriptive longitudinal study.
Vethanayagam Antony SheronTiffany E GoodenPowsiga UruthirakumarKanesamoorthy ShribavanMahesan GuruparanKumaran SubaschandrenGregory Y H LipKrishnarajah NirantharakumarG Neil ThomasRajendra SurenthirakumaranBalachandran KumarendranSemira Manaseki-Hollandnull nullPublished in: NIHR open research (2024)
Primary care was not involved in the diagnosis of AF, indicating that most diagnoses occurr after a medical emergency. The frequency of blood tests was lower than the guideline recommendations of one per month which could in-part be due to the adverse impacts of the pandemic. Strengthening primary and community-based care may enable early diagnosis and improve continuity of care during and beyond future healthcare crises.
Keyphrases
- healthcare
- atrial fibrillation
- primary care
- palliative care
- quality improvement
- emergency department
- affordable care act
- heart failure
- public health
- coronavirus disease
- pain management
- left atrial
- cross sectional
- coronary artery disease
- left ventricular
- catheter ablation
- direct oral anticoagulants
- venous thromboembolism
- mitral valve
- social media
- health insurance