Key result
Primary care management guided by 2020 CCS guidelines effectively supports AF prevention, diagnosis, and care.
Why the study?
To support family physicians in preventing, identifying, and managing AF, and to summarize key guideline recommendations for ideal screening and care.
This review highlights the central role of primary care clinicians in managing atrial fibrillation according to the 2020 Canadian guidelines.
Supports primary care AF management per 2020 CCS guidelines; leaves open need for prospective validation and updates.
OBJECTIVE: To support family physicians in preventing atrial fibrillation (AF) in patients at risk and in identifying and managing those with established AF; and to summarize key recommendations for ideal screening and care of patients. SOURCES OF INFORMATION: The 2020 Canadian Cardiovascular Society and Canadian Heart Rhythm Society comprehensive guidelines for the management of AF, based on current evidence and clinical experience related to AF. MAIN MESSAGE: Atrial fibrillation, which is estimated to affect at least 500,000 Canadians, is associated with high risks of stroke, heart failure, and death. Primary care clinicians occupy a central role in the management of this chronic condition, focusing on the challenges of preventing AF and identifying, diagnosing, treating, and following patients with AF. Evidence-based guidelines that provide optimal management strategies have been published by the Canadian Cardiovascular Society and Canadian Heart Rhythm Society to assist in these tasks. Messages critical to primary care are offered to support effective knowledge translation. CONCLUSION: Most patients with AF can be managed effectively in primary care. Family physicians not only play an important role in ensuring patients with AF receive timely diagnoses, but they are also key to providing initial and ongoing care, especially in patients with comorbid conditions.
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Bell et al. (2023) conducted a review in Atrial fibrillation. Primary care management was evaluated. Primary care management guided by the 2020 Canadian Cardiovascular Society guidelines effectively supports the prevention, diagnosis, and ongoing care of patients with atrial fibrillation.
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