World Heart Federation Roadmap on Atrial Fibrillation - A 2020 Update
Freedman, Ben (University of Sydney. Heart Research Institute)
Hindricks, Gerhard (Leipzig Heart Institute, Leipzig, DE)
Banerjee, Amitava (University College London, London, UK)
Baranchuk, Adrian (Queen's University, Kingston, CA)
Ching, Chi Keong (National Heart Centre Singapore, SG)
Du, Xin (Beijing Anzhen Hospital, Capital Medical University, CN)
Fitzsimons, Donna (Queen's University Belfast, UK)
Healey, Jeff S. (McMaster University, Hamilton, Ontario, CA)
Ikeda, Takanori (Toho University Faculty of Medicine, Tokyo, JP)
Lobban, Trudie C. A. (Arrhythmia Alliance & Atrial Fibrillation Association, Stratford Upon Avon, UK)
Mbakwem, Amam (Lagos University Teaching Hospital, Idi Araba, Lagos, NG)
Narasimhan, Calambur (AIG Hospitals, Gachibowli, Telangana, IN)
Neubeck, Lis (Edinburgh Napier University, Edinburgh, UK)
Noseworthy, Peter (Mayo Clinic, Rochester, US)
Philbin, Daniel M. (Brown University, Providence, Rhode Island, US)
Pinto, Fausto J. (Santa Maria University Hospital (CHULN), CAML, CCUL, Lisboa, PT)
Rwebembera, Joselyn (Uganda Heart Institute, Kampala, UG)
Schnabel, Renate B. (University Heart and Vascular Centre Hamburg, DE)
Svendsen, Jesper Hastrup (Copenhagen University Hospital Rigshospitalet)
Aguinaga, Luis (Centro integral de arritmias Tucuman, Tucuman, AR)
Arbelo, Elena (Hospital Clínic i Provincial de Barcelona)
Böhm, Michael (Universitätsklinikum des Saarlandes, Hornburg/Saar, DE)
Farhan, Hasan Ali (Baghdad Heart Center, Baghdad, IQ)
Hobbs, F. D. Richard (University of Oxford, Oxford, UK)
Martínez-Rubio, Antoni (Parc Taulí Hospital Universitari. Institut d'Investigació i Innovació Parc Taulí (I3PT))
Militello, Claudio (Sanatorio Sagrado Corazón. OSECAC. Buenos Aires, AR)
Naik, Nitish (All India Institute of Medical Sciences (Nova Delhi, Índia))
Noubiap, Jean Jacques (University of Adelaide, Adelaide, AU)
Perel, Pablo (World Heart Federation, Geneva, CH)
Piñeiro, Daniel José (Universidad de Buenos Aires)
Ribeiro, Antonio Luiz (Universidade Federal de Minas Gerais, Belo Horizonte, MG, BR)
Stepinska, Janina (National Institute of Cardiology, Warsaw, PL)

Data:	2021
Resum:	The World Heart Federation (WHF) commenced a Roadmap initiative in 2015 to reduce the global burden of cardiovascular disease and resultant burgeoning of healthcare costs. Roadmaps provide a blueprint for implementation of priority solutions for the principal cardiovascular diseases leading to death and disability. Atrial fibrillation (AF) is one of these conditions and is an increasing problem due to ageing of the world's population and an increase in cardiovascular risk factors that predispose to AF. The goal of the AF roadmap was to provide guidance on priority interventions that are feasible in multiple countries, and to identify roadblocks and potential strategies to overcome them. Since publication of the AF Roadmap in 2017, there have been many technological advances including devices and artificial intelligence for identification and prediction of unknown AF, better methods to achieve rhythm control, and widespread uptake of smartphones and apps that could facilitate new approaches to healthcare delivery and increasing community AF awareness. In addition, the World Health Organisation added the non-vitamin K antagonist oral anticoagulants (NOACs) to the Essential Medicines List, making it possible to increase advocacy for their widespread adoption as therapy to prevent stroke. These advances motivated the WHF to commission a 2020 AF Roadmap update. Three years after the original Roadmap publication, the identified barriers and solutions were judged still relevant, and progress has been slow. This 2020 Roadmap update reviews the significant changes since 2017 and identifies priority areas for achieving the goals of reducing death and disability related to AF, particularly targeted at low-middle income countries. These include advocacy to increase appreciation of the scope of the problem; plugging gaps in guideline management and prevention through physician education, increasing patient health literacy, and novel ways to increase access to integrated healthcare including mHealth and digital transformations; and greater emphasis on achieving practical solutions to national and regional entrenched barriers. Despite the advances reviewed in this update, the task will not be easy, but the health rewards of implementing solutions that are both innovative and practical will be great.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article de revisió ; recerca ; Versió publicada
Matèria:	Atrial fibrillation ; AF ; Cardiology ; WHF ; NOACs ; Digital technology
Publicat a:	Global Heart, Vol. 16 (may 2021) , ISSN 2211-8179

DOI: 10.5334/gh.1023
PMID: 34211827

36 p, 3.3 MB

El registre apareix a les col·leccions:
Documents de recerca > Documents dels grups de recerca de la UAB > Centres i grups de recerca (producció científica) > Ciències de la salut i biociències > Institut d’Investigació i Innovació Parc Taulí (I3PT)
Articles > Articles de recerca
Articles > Articles publicats