Circulation Cardiovascular Interventions, Journal Year: 2024, Volume and Issue: 17(10)
Published: Sept. 11, 2024
Language: Английский
Thrombosis and Haemostasis, Journal Year: 2024, Volume and Issue: 124(10), P. 897 - 911
Published: May 14, 2024
The consensus guidelines of the Geriatric Society Chinese Medical Association on management atrial fibrillation (AF) in elderly was first published 2011 and updated 2016, with endorsement by Health Medicine. Since then, many important studies regarding screening treatment population have been reported, necessitating this expert guideline. writing committee members comprehensively reviewed evidence pertaining to patients AF, formulated 2024 update. highlighted issues focused following: for geriatric comprehensive assessment, use Atrial Better Care (ABC) pathway patients, special clinical settings related AF. New recommendations addressing smart technology facilitated AF screening, ABC based management, optimal anticoagulation were developed, a focus elderly.
Language: Английский
Citations
40
Annals of Medicine, Journal Year: 2025, Volume and Issue: 57(1)
Published: Jan. 18, 2025
Background Most older patients with atrial fibrillation (AF) have comorbidities. However, it is unclear whether specific comorbidity patterns are associated adverse outcomes. We identified and their association mortality in multimorbid AF different multidimensional frailty.
Language: Английский
Citations
1
Biomedicines, Journal Year: 2025, Volume and Issue: 13(2), P. 405 - 405
Published: Feb. 7, 2025
Atrial fibrillation (AF) is the most common sustained arrhythmia, contributing to significant morbidity and healthcare burden worldwide. This review evaluates role of early risk factor modification timely catheter ablation in preventing AF progression improving patient outcomes. A comprehensive literature search was conducted using PubMed, MEDLINE, Google Scholar, focusing on studies published after ESC 2020 guidelines for diagnosis management up release updated 2024 AF. Keywords included "atrial fibrillation", "catheter ablation", "risk management", "psychological stress". Relevant clinical trials, randomized controlled systematic reviews, meta-analyses were included, with particular emphasis novel recommendations. Traditional factors such as obesity, hypertension, diabetes, sleep apnea, alcohol consumption, physical exertion are well established progression. Early evidence also suggests a psychological stress mood disorders, including depression post-traumatic disorder (PTSD), increasing susceptibility. Psychological disorders linked primarily through behavioral changes poor medication adherence, unhealthy lifestyle choices, increased substance use. Recent recommend selected patients reduce burden, prevent atrial remodeling, improve quality life, particularly those resistant antiarrhythmic drugs or individuals AF-induced cardiomyopathy. Furthermore, we highlight importance patient-centered, multidisciplinary approach, integrating electrophysiologists, cardiologists, primary care providers structured interventions shared decision-making. Despite these advances, gaps remain defining optimal timing, selection, long-term benefits persistent AF, necessitating need further research. By intervention, personalized treatment strategies, collaborative models, may usher paradigm shift management, cardiovascular outcomes life.
Language: Английский
Citations
1
Heart, Journal Year: 2025, Volume and Issue: unknown, P. heartjnl - 325244
Published: Feb. 8, 2025
Background Iron deficiency (ID) is common in patients with atrial fibrillation/flutter (AF), but its prognostic implications and optimal diagnostic criteria, particularly those without heart failure (HF), remain unclear. This study assessed the associations between different ID definitions clinical outcomes AF. Methods Danish nationwide cohort included 10 834 AF who underwent iron studies 2008 2019, stratified by HF status. was defined using four criteria: European Society of Cardiology (ESC) guidelines, ferritin <100 ng/mL, transferrin saturation (TSAT) <20% serum ≤13 µmol/L. Associations all-cause mortality, cardiovascular mortality hospitalisation were evaluated Cox regression models, adjusted for confounders. Results Prevalence varied substantially across definitions, ranging from 36.2% to 62.7%. Over a median follow-up 31 months, TSAT associated increased both (HR 1.25, 95% CI 1.14 1.37 HR 1.31, 1.49, respectively) 1.39, 1.18 1.64 1.54, 2.00, respectively). Similarly, µmol/L higher 1.44, 1.31 1.58 1.42, 1.24 1.63, 1.67, 1.41 1.97 1.46, 1.13 1.89, ESC guidelines or ng/mL not either group linked 1.15, 1.08 1.23 1.16, 1.09 1.23, Conclusions AF, irrespective status, highlighting these criteria as clinically relevant risk stratification.
Language: Английский
Citations
1
Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(5), P. 1753 - 1753
Published: March 5, 2025
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia, with its prevalence expected to rise significantly due global population aging [...]
Language: Английский
Citations
1
Biomedicines, Journal Year: 2024, Volume and Issue: 12(4), P. 891 - 891
Published: April 17, 2024
Atrial fibrillation (AF) is a comorbidity of variety other chronic, inflammatory diseases for which fibrinaloid microclots are known accompaniment (and in some cases, cause, with mechanistic basis). Clots are, course, well-known consequence atrial fibrillation. We here ask the question whether seen plasma or serum may fact also be cause (or contributor to) development AF. consider ‘risk factors’ AF, and particular, exogenous stimuli such as infection air pollution by particulates, both to The external accompaniments bacterial (lipopolysaccharide lipoteichoic acids) viral (SARS-CoV-2 spike protein) infections stimulate when added vitro, microclots, amyloid proteins, can cytotoxic, inducing hypoxia/reperfusion means. Strokes thromboembolisms common consequences Consequently, taking systems approach, we review considerable evidence detail, leads us suggest that it likely well have an aetiological role This has significant therapeutic implications.
Language: Английский
Citations
5
Clinical Neurology and Neurosurgery, Journal Year: 2024, Volume and Issue: 249, P. 108689 - 108689
Published: Dec. 10, 2024
Stroke is a leading cause of morbidity and mortality worldwide, early detection risk factors critical for prevention improved outcomes. Traditional stroke assessments, relying on sporadic clinical visits, fail to capture dynamic changes in such as hypertension atrial fibrillation (AF). Wearable technology (devices), combined with biometric data analysis, offers transformative approach by enabling continuous monitoring physiological parameters. This narrative review was conducted using systematic identify analyze peer-reviewed articles, reports, case studies from reputable scientific databases. The search strategy focused articles published between 2010 till date pre-determined keywords. Relevant were selected based their focus wearable devices AI-driven technologies prevention, diagnosis, rehabilitation. literature categorized thematically explore applications, opportunities, challenges, future directions. explores the current landscape assessment, focusing role detection, personalized care, integration into practice. highlights opportunities presented predictive analytics, where algorithms can provide tailored interventions. Personalized powered machine learning, enable individualized care plans. Furthermore, telemedicine facilitates remote patient rehabilitation, particularly underserved areas. Despite these advances, challenges remain. Issues accuracy, privacy concerns, wearables healthcare systems must be addressed fully realize potential. As evolves, its application could revolutionize improving outcomes reducing global burden stroke.
Language: Английский
Citations
5
Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(16), P. 4621 - 4621
Published: Aug. 7, 2024
Atrial fibrillation (AF) represents the most common sustained arrhythmia necessitating dual focus: acute complication management and longitudinal oversight to modulate disease progression ensure comprehensive patient care over time. AF is a multifaceted disorder; due such great number of potential exacerbating conditions, multidisciplinary team (MDT) should manage patients by cooperating with cardiologist. Effective necessitates implementation well-coordinated tailored pathway aimed at delivering optimized treatment through collaboration among various healthcare professionals. Management be carefully evaluated mutually agreed upon in consultation providers. It crucial recognize that may evolve emergence new risk factors, symptoms, progression, advancements modalities. In context teams, coordinated approach involves assembling diverse meet individual patients’ unique needs based on local services’ availability.
Language: Английский
Citations
4
Heart Rhythm, Journal Year: 2025, Volume and Issue: unknown
Published: Feb. 1, 2025
Language: Английский
Citations
0
Breathe, Journal Year: 2025, Volume and Issue: 21(1), P. 240099 - 240099
Published: Jan. 1, 2025
COPD is one of the most common chronic respiratory conditions and associated with high healthcare use, morbidity mortality. Multimorbidity in confers a worse prognosis. Despite this, there delayed often under-diagnosis comorbid diseases COPD. Knowledge non-respiratory pathologies that can coexist essential to ensure early detection appropriate management. This review provides an overview comorbidities have been described We discuss their pathogenesis, pitfalls diagnosis, strategies for prevention treatment.
Language: Английский
Citations
0