Key result
Adherence to the Atrial Fibrillation Better Care pathway was associated with statistically significant reductions in stroke, myocardial infarction, and mortality across 12 studies of 7 cohorts.
Why the study?
To summarize the definitions used for the Atrial Fibrillation Better Care pathway criteria across studies and evaluate the impact of adherence versus non-adherence on clinical outcomes.
Does adherence to the Atrial Fibrillation Better Care (ABC) pathway reduce the risk of stroke, myocardial infarction, and mortality in patients with atrial fibrillation?
Does adherence to the Atrial Fibrillation Better Care (ABC) pathway reduce the risk of stroke, myocardial infarction, and mortality in patients with atrial fibrillation?
Adherence to the ABC pathway for atrial fibrillation management is consistently associated with reduced risks of stroke, myocardial infarction, and mortality, supporting current ESC guidelines.
ABC adherence was associated with fewer events in AF cohorts; leaves open whether prospective trials will establish causality and guide implementation.
The 2020 European Society of Cardiology guidelines endorse the Atrial Fibrillation Better Care (ABC) pathway as a structured approach for the management of atrial fibrillation (AF), addressing three principal elements: 'A' - avoid stroke (with oral anticoagulation), 'B' - patient-focused better symptom management, and 'C' - cardiovascular and comorbidity risk factor reduction and management. This review summarizes the definitions used for the ABC criteria in different studies and the impact of adherence/non-adherence on clinical outcomes, from 12 studies on seven different cohorts. All studies consistently showed statistically significant reductions in the risk of stroke, myocardial infarction, and mortality among those with ABC pathway adherent treatment. The ABC pathway provides a simple decision-making framework to enable consistent equitable care from clinicians in primary and secondary/tertiary care. Further research examining the impact of ABC pathway implementation in prospective cohorts utilizing consistent inclusion criteria and definitions of 'A', 'B', and 'C' adherent care is warranted.
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Stevens et al. (2021) conducted a review in atrial fibrillation. Atrial Fibrillation Better Care (ABC) pathway adherence vs. non-adherence was evaluated on stroke, myocardial infarction, and mortality. Adherence to the Atrial Fibrillation Better Care pathway was associated with statistically significant reductions in stroke, myocardial infarction, and mortality across 12 studies of 7 cohorts.
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