Global voices on atrial fibrillation care in China

IF 2.5 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS
Mingfang Li MD, PhD , Minglong Chen MD , Yutao Guo MD , Gregory Y.H. Lip MD
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引用次数: 0

Abstract

An aging population, coupled with the high prevalence of physical inactivity, obesity, dyslipidemia, hypertension, and diabetes mellitus, has led to a significant increase in the incidence and prevalence of atrial fibrillation (AF) in China. Managing clinical complexity of AF patients poses significant challenges. Current guidelines advocate for holistic or integrated management using the ABC (Atrial fibrillation Better Care) pathway. Compliance with the ABC pathway has demonstrated promising benefit in improving clinical outcomes. The mAFA II trial (the mHealth technology for improved screening, patient involvement, and optimized integrated care in Atrial Fibrillation) explores the potential of a mobile health technology–supported integrated care approach in reducing the risks of rehospitalization and clinical adverse events. However, disparities persist between urban and rural areas, with the likelihood of rural older individuals by themselves using intelligent devices being extremely low. Therefore, the application prospects of the mobile AF application strategy in rural areas are greatly limited. The ongoing MIRACLE-AF trial (A Novel Model of Integrated Care of Older Patients With Atrial Fibrillation in Rural China) aims to address unique healthcare challenges faced by rural older patients with AF through a novel integrated care model, which is led by village doctors and supported by a digital health platform. In conclusion, innovative integrated care approaches using digital technologies offer promising solutions to enhance AF care across diverse settings in China, catering to the needs of both urban and rural populations.
关于中国心房颤动治疗的全球声音
人口老龄化,加上缺乏运动、肥胖、血脂异常、高血压和糖尿病的高发,导致中国心房颤动(房颤)的发病率和患病率显著增加。房颤患者的临床复杂性给管理带来了巨大挑战。目前的指南提倡采用 ABC(心房颤动更好护理)路径进行整体或综合管理。实践证明,遵从 ABC 方案有望改善临床疗效。mAFA II 试验(移动医疗技术改善心房颤动筛查、患者参与和优化综合护理)探索了移动医疗技术支持的综合护理方法在降低再住院风险和临床不良事件方面的潜力。然而,城乡之间的差距依然存在,农村老年人自己使用智能设备的可能性极低。因此,移动心房颤动应用策略在农村地区的应用前景非常有限。目前正在进行的 MIRACLE-AF 试验(中国农村老年房颤患者综合治疗新模式)旨在通过由乡村医生主导、数字医疗平台支持的新型综合治疗模式,解决农村老年房颤患者面临的独特医疗挑战。总之,利用数字技术的创新综合护理方法为加强中国不同环境下的房颤护理提供了前景广阔的解决方案,同时满足了城市和农村人口的需求。
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来源期刊
Heart Rhythm O2
Heart Rhythm O2 Cardiology and Cardiovascular Medicine
CiteScore
3.30
自引率
0.00%
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0
审稿时长
52 days
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