Contemporary management of atrial fibrillation in primary and secondary care in the UK: the prospective long-term AF-GEN-UK Registry.
Alena ShantsilaGregory Yoke Hong LipDeirdre A LanePublished in: Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology (2022)
High OAC use (>80%, mainly NOACs), rates varied by speciality, with VKA prescription higher in primary care. Guideline-adherent OAC therapy at baseline was associated with significant reduction in death and stroke at 1 year, regardless of speciality. Rhythm-control management is evident in only one-quarter despite AF symptoms reported in 56.6%. This registry extends the knowledge of contemporary AF management outside cardiology and demonstrates good implementation of clinical guidelines for the management of AF, particularly for stroke prevention.
Keyphrases
- atrial fibrillation
- oral anticoagulants
- primary care
- catheter ablation
- healthcare
- left atrial
- left atrial appendage
- direct oral anticoagulants
- heart failure
- percutaneous coronary intervention
- coronary artery disease
- mitral valve
- heart rate
- bone marrow
- depressive symptoms
- mesenchymal stem cells
- blood pressure
- sleep quality
- cross sectional
- blood brain barrier
- health insurance
- cerebral ischemia