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Evaluating the benefits of home-based management of atrial fibrillation: current perspectives

Authors Sheikh AB, Felzer JR, Munir AB, Morin DP, Lavie CJ

Received 13 June 2016

Accepted for publication 2 September 2016

Published 13 October 2016 Volume 2016:7 Pages 41—53

DOI https://doi.org/10.2147/POR.S96670

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Akshita Wason

Peer reviewer comments 3

Editor who approved publication: Professor David B Price


Azfar B Sheikh,1 Jamie R Felzer,2 Abdullah Bin Munir,3 Daniel P Morin,4 Carl J Lavie5

1Department of Cardiology, Ochsner Clinical Foundation, John Ochsner Heart and Vascular Institute, New Orleans, LA, 2Department of Medicine, Scripps Green Hospital, La Jolla, CA, 3Department of Medicine, Northwell Health – Staten Island University Hospital, Staten Island, NY, 4Department of Electrophysiology, 5Department of Cardiac Rehabilitation and Prevention, Ochsner Clinical Foundation, John Ochsner Heart and Vascular Institute, New Orleans, LA, USA

Abstract: Atrial fibrillation (AF) is the most common arrhythmia worldwide, leading to an extensive public health and economic burden. The increasing incidence and prevalence of AF is due to the advancing age of the population, structural heart disease, hypertension, diabetes, and thyroid disease. The majority of costs associated with AF have been attributed to the cost of hospitalization. In order to minimize costs and decrease hospitalizations, counseling on modifiable risk factors contributing to AF has been strongly emphasized. With the release of novel oral anticoagulants bypassing the need for anticoagulant bridging or laboratory monitoring, post-discharge nurse-led home intervention, and novel methods of heart rate monitoring, home-based AF management has reached a new level of ease and sophistication. In this review, we aimed to review modifiable risk factors for AF and various methods of home-based management of AF, along with their benefits.

Keywords: atrial fibrillation, home-based management, epidemiology, risk factors

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