World Heart Federation roadmap on atrial fibrillation : a 2020 update
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10451/49521 |
Resumo: | © 2021 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. |
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World Heart Federation roadmap on atrial fibrillation : a 2020 updateAFNOACsWHFAtrial fibrillationCardiologyDigital technology© 2021 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.The World Heart Federation (WHF) commenced a Roadmap initiative in 2015 to reduce the global burden of cardiovascular disease and resultant burgeoning of healthcare costs. Roadmaps provide a blueprint for implementation of priority solutions for the principal cardiovascular diseases leading to death and disability. Atrial fibrillation (AF) is one of these conditions and is an increasing problem due to ageing of the world's population and an increase in cardiovascular risk factors that predispose to AF. The goal of the AF roadmap was to provide guidance on priority interventions that are feasible in multiple countries, and to identify roadblocks and potential strategies to overcome them. Since publication of the AF Roadmap in 2017, there have been many technological advances including devices and artificial intelligence for identification and prediction of unknown AF, better methods to achieve rhythm control, and widespread uptake of smartphones and apps that could facilitate new approaches to healthcare delivery and increasing community AF awareness. In addition, the World Health Organisation added the non-vitamin K antagonist oral anticoagulants (NOACs) to the Essential Medicines List, making it possible to increase advocacy for their widespread adoption as therapy to prevent stroke. These advances motivated the WHF to commission a 2020 AF Roadmap update. Three years after the original Roadmap publication, the identified barriers and solutions were judged still relevant, and progress has been slow. This 2020 Roadmap update reviews the significant changes since 2017 and identifies priority areas for achieving the goals of reducing death and disability related to AF, particularly targeted at low-middle income countries. These include advocacy to increase appreciation of the scope of the problem; plugging gaps in guideline management and prevention through physician education, increasing patient health literacy, and novel ways to increase access to integrated healthcare including mHealth and digital transformations; and greater emphasis on achieving practical solutions to national and regional entrenched barriers. Despite the advances reviewed in this update, the task will not be easy, but the health rewards of implementing solutions that are both innovative and practical will be great.Ubiquity PressRepositório da Universidade de LisboaFreedman, BenHindricks, GerhardBanerjee, AmitavaBaranchuk, AdrianChing, Chi KeongDu, XinFitzsimons, DonnaHealey, Jeff S.Ikeda, TakanoriLobban, Trudie C. A.Mbakwem, AmamNarasimhan, CalamburNeubeck, LisNoseworthy, PeterPhilbin, Daniel M.Pinto, Fausto J.Rwebembera, JoselynSchnabel, Renate B.Svendsen, Jesper HastrupAguinaga, LuisArbelo, ElenaBöhm, MichaelFarhan, Hasan AliHobbs, F. D. RichardMartínez-Rubio, AntoniMilitello, ClaudioNaik, NitishNoubiap, Jean JacquesPerel, PabloPiñeiro, Daniel JoséRibeiro, Antonio LuizStepinska, Janina2021-09-15T13:04:51Z20212021-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/49521engGlob Heart. 2021 May 27;16(1):412211-816010.5334/gh.10232211-8179info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:53:21Zoai:repositorio.ul.pt:10451/49521Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:01:08.875005Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
World Heart Federation roadmap on atrial fibrillation : a 2020 update |
title |
World Heart Federation roadmap on atrial fibrillation : a 2020 update |
spellingShingle |
World Heart Federation roadmap on atrial fibrillation : a 2020 update Freedman, Ben AF NOACs WHF Atrial fibrillation Cardiology Digital technology |
title_short |
World Heart Federation roadmap on atrial fibrillation : a 2020 update |
title_full |
World Heart Federation roadmap on atrial fibrillation : a 2020 update |
title_fullStr |
World Heart Federation roadmap on atrial fibrillation : a 2020 update |
title_full_unstemmed |
World Heart Federation roadmap on atrial fibrillation : a 2020 update |
title_sort |
World Heart Federation roadmap on atrial fibrillation : a 2020 update |
author |
Freedman, Ben |
author_facet |
Freedman, Ben Hindricks, Gerhard Banerjee, Amitava Baranchuk, Adrian Ching, Chi Keong Du, Xin Fitzsimons, Donna Healey, Jeff S. Ikeda, Takanori Lobban, Trudie C. A. Mbakwem, Amam Narasimhan, Calambur Neubeck, Lis Noseworthy, Peter Philbin, Daniel M. Pinto, Fausto J. Rwebembera, Joselyn Schnabel, Renate B. Svendsen, Jesper Hastrup Aguinaga, Luis Arbelo, Elena Böhm, Michael Farhan, Hasan Ali Hobbs, F. D. Richard Martínez-Rubio, Antoni Militello, Claudio Naik, Nitish Noubiap, Jean Jacques Perel, Pablo Piñeiro, Daniel José Ribeiro, Antonio Luiz Stepinska, Janina |
author_role |
author |
author2 |
Hindricks, Gerhard Banerjee, Amitava Baranchuk, Adrian Ching, Chi Keong Du, Xin Fitzsimons, Donna Healey, Jeff S. Ikeda, Takanori Lobban, Trudie C. A. Mbakwem, Amam Narasimhan, Calambur Neubeck, Lis Noseworthy, Peter Philbin, Daniel M. Pinto, Fausto J. Rwebembera, Joselyn Schnabel, Renate B. Svendsen, Jesper Hastrup Aguinaga, Luis Arbelo, Elena Böhm, Michael Farhan, Hasan Ali Hobbs, F. D. Richard Martínez-Rubio, Antoni Militello, Claudio Naik, Nitish Noubiap, Jean Jacques Perel, Pablo Piñeiro, Daniel José Ribeiro, Antonio Luiz Stepinska, Janina |
author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Repositório da Universidade de Lisboa |
dc.contributor.author.fl_str_mv |
Freedman, Ben Hindricks, Gerhard Banerjee, Amitava Baranchuk, Adrian Ching, Chi Keong Du, Xin Fitzsimons, Donna Healey, Jeff S. Ikeda, Takanori Lobban, Trudie C. A. Mbakwem, Amam Narasimhan, Calambur Neubeck, Lis Noseworthy, Peter Philbin, Daniel M. Pinto, Fausto J. Rwebembera, Joselyn Schnabel, Renate B. Svendsen, Jesper Hastrup Aguinaga, Luis Arbelo, Elena Böhm, Michael Farhan, Hasan Ali Hobbs, F. D. Richard Martínez-Rubio, Antoni Militello, Claudio Naik, Nitish Noubiap, Jean Jacques Perel, Pablo Piñeiro, Daniel José Ribeiro, Antonio Luiz Stepinska, Janina |
dc.subject.por.fl_str_mv |
AF NOACs WHF Atrial fibrillation Cardiology Digital technology |
topic |
AF NOACs WHF Atrial fibrillation Cardiology Digital technology |
description |
© 2021 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-15T13:04:51Z 2021 2021-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10451/49521 |
url |
http://hdl.handle.net/10451/49521 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Glob Heart. 2021 May 27;16(1):41 2211-8160 10.5334/gh.1023 2211-8179 |
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info:eu-repo/semantics/openAccess |
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openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Ubiquity Press |
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Ubiquity Press |
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