The modern treatment approach to AF has evolved with the identification of frequency
and duration of AF episodes. Current guidelines recommend the 4S-AF approach to AF
characterization and evaluation, following confirmation of the diagnosis [
[1]
]. After this, an integrated or holistic approach to AF care is recommended [
- Potpara TS
- Lip GYH
- Blomstrom-Lundqvist C
- Boriani G
- Van Gelder IC
- Heidbuchel H
- Hindricks G
- Camm AJ.
The 4S-AF Scheme (Stroke Risk; Symptoms; Severity of Burden; Substrate): a Novel Approach
to In-Depth Characterization (Rather than Classification) of Atrial Fibrillation.
Thromb Haemost. 2021; 121: 270-278
[2]
], given the improved outcomes with ABC pathway compliance [
- Hindricks G
- Potpara T
- Dagres N
- Arbelo E
- Bax JJ
- Blomström-Lundqvist C
- Boriani G
- Castella M
- Dan GA
- Dilaveris PE
- Fauchier L
- Filippatos G
- Kalman JM
- La Meir M
- Lane DA
- Lebeau JP
- Lettino M
- Lip GYH
- Pinto FJ
- Thomas GN
- Valgimigli M
- Van Gelder IC
- Van Putte BP
- Watkins CL
2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed
in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS).
Eur Heart J. 2021; 42: 373-498
[3]
,
- Yoon M
- Yang PS
- Jang E
- Yu HT
- Kim TH
- Uhm JS
- Kim JY
- Sung JH
- Pak HN
- Lee MH
- Joung B
- Lip GYH.
Improved population-based clinical outcomes of patients with atrial fibrillation by
compliance with the simple ABC (Atrial Fibrillation Better Care) pathway for integrated
care management: a nationwide cohort study.
Thromb Haemost. 2019; 119: 1695-1703
[4]
]. Given the increased stroke risk associated with the atrial high-rate episodes or
subclinical AF burden (≥24 h) detected by implanted cardiac devices, oral anticoagulants
should be considered in such patients. [
- Romiti GF
- Pastori D
- Rivera-Caravaca JM
- Ding WY
- Gue YX
- Menichelli D
- Gumprecht J
- Koziel M
- Yang PS
- Guo Y
- Lip GYH
- Proietti M.
Adherence to the 'atrial fibrillation better care' pathway in patients with atrial
fibrillation: impact on clinical outcomes-a systematic review and meta-analysis of
285,000 patients.
Thromb Haemost. 2021;
[2]
,
- Hindricks G
- Potpara T
- Dagres N
- Arbelo E
- Bax JJ
- Blomström-Lundqvist C
- Boriani G
- Castella M
- Dan GA
- Dilaveris PE
- Fauchier L
- Filippatos G
- Kalman JM
- La Meir M
- Lane DA
- Lebeau JP
- Lettino M
- Lip GYH
- Pinto FJ
- Thomas GN
- Valgimigli M
- Van Gelder IC
- Van Putte BP
- Watkins CL
2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed
in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS).
Eur Heart J. 2021; 42: 373-498
[5]
,
[6]
]To read this article in full you will need to make a payment
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References
- The 4S-AF Scheme (Stroke Risk; Symptoms; Severity of Burden; Substrate): a Novel Approach to In-Depth Characterization (Rather than Classification) of Atrial Fibrillation.Thromb Haemost. 2021; 121: 270-278
- 2020 ESC Guidelines for the diagnosis and management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS).Eur Heart J. 2021; 42: 373-498
- Improved population-based clinical outcomes of patients with atrial fibrillation by compliance with the simple ABC (Atrial Fibrillation Better Care) pathway for integrated care management: a nationwide cohort study.Thromb Haemost. 2019; 119: 1695-1703
- Adherence to the 'atrial fibrillation better care' pathway in patients with atrial fibrillation: impact on clinical outcomes-a systematic review and meta-analysis of 285,000 patients.Thromb Haemost. 2021;
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Article info
Publication history
Published online: September 13, 2021
Accepted:
August 27,
2021
Received:
August 21,
2021
Identification
Copyright
© 2021 European Federation of Internal Medicine. Published by Elsevier B.V. All rights reserved.
