Atrial fibrillation (AF) is the most commonly encountered arrhythmia in clinical practice with an epidemiological coupling appreciated with advancing age, cardiometabolic risk factors, and structural heart disease. This has resulted in a significant public health burden over the years, evident through increasing rates of hospitalization and AF-related clinical encounters. The resultant gap in health care outcomes is largely twinned with suboptimal rates of anticoagulation prescription and adherence, deficits in symptom identification and management, and insufficient comorbid cardiovascular risk factor investigation and modification. In view of these shortfalls in care, the establishment of integrated chronic care models serves as a road map to best clinical practice. The expansion of integrated chronic care programs, which include multidisciplinary team care, nurse-led AF clinics, and use of telemedicine, are expected to improve AF-related outcomes in the coming years. This review will delve into current gaps in AF care and the role of integrated chronic care models in bridging fragmentations in its management.

中文翻译：

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心房颤动的综合护理


心房颤动 (AF) 是临床实践中最常见的心律失常，其流行病学关联性与年龄增长、心脏代谢危险因素和结构性心脏病有关。多年来，这给公共卫生带来了巨大的负担，住院率和房颤相关临床病例的增加就证明了这一点。由此产生的医疗保健结果差距在很大程度上与抗凝处方率和依从性不佳、症状识别和管理方面的缺陷以及共病心血管危险因素调查和修改不足密切相关。鉴于护理方面的这些不足，建立综合慢性病护理模式可以作为最佳临床实践的路线图。综合慢性护理计划的扩展，包括多学科团队护理、护士主导的房颤诊所以及远程医疗的使用，预计将在未来几年改善房颤相关的结果。本综述将深入探讨当前房颤护理方面的差距以及综合慢性护理模式在弥合管理中的碎片化方面的作用。