World Heart Federation Roadmap on Atrial Fibrillation – A 2020 Update
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...
| Main Authors: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Ubiquity Press
2021-05-01
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| Series: | Global Heart |
| Subjects: | |
| Online Access: | https://globalheartjournal.com/articles/1023 |
| _version_ | 1818609386511138816 |
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| author | Ben Freedman Gerhard Hindricks Amitava Banerjee Adrian Baranchuk Chi Keong Ching Xin Du Donna Fitzsimons Jeff S. Healey Takanori Ikeda Trudie C. A. Lobban Amam Mbakwem Calambur Narasimhan Lis Neubeck Peter Noseworthy Daniel M. Philbin Fausto J. Pinto Joselyn Rwebembera Renate B. Schnabel Jesper Hastrup Svendsen Luis Aguinaga Elena Arbelo Michael Böhm Hasan Ali Farhan F. D. Richard Hobbs Antoni Martínez-Rubio Claudio Militello Nitish Naik Jean Jacques Noubiap Pablo Perel Daniel José Piñero Antonio Luiz Ribeiro Janina Stepinska |
| author_facet | Ben Freedman Gerhard Hindricks Amitava Banerjee Adrian Baranchuk Chi Keong Ching Xin Du Donna Fitzsimons Jeff S. Healey Takanori Ikeda Trudie C. A. Lobban Amam Mbakwem Calambur Narasimhan Lis Neubeck Peter Noseworthy Daniel M. Philbin Fausto J. Pinto Joselyn Rwebembera Renate B. Schnabel Jesper Hastrup Svendsen Luis Aguinaga Elena Arbelo Michael Böhm Hasan Ali Farhan F. D. Richard Hobbs Antoni Martínez-Rubio Claudio Militello Nitish Naik Jean Jacques Noubiap Pablo Perel Daniel José Piñero Antonio Luiz Ribeiro Janina Stepinska |
| author_sort | Ben Freedman |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-16T14:57:43Z |
| format | Article |
| id | doaj.art-204e68a96a3c4827a556f93b4e6d4541 |
| institution | Directory Open Access Journal |
| issn | 2211-8179 |
| language | English |
| last_indexed | 2024-12-16T14:57:43Z |
| publishDate | 2021-05-01 |
| publisher | Ubiquity Press |
| record_format | Article |
| series | Global Heart |
| spelling | doaj.art-204e68a96a3c4827a556f93b4e6d45412022-12-21T22:27:22ZengUbiquity PressGlobal Heart2211-81792021-05-0116110.5334/gh.1023856World Heart Federation Roadmap on Atrial Fibrillation – A 2020 UpdateBen Freedman0Gerhard Hindricks1Amitava Banerjee2Adrian Baranchuk3Chi Keong Ching4Xin Du5Donna Fitzsimons6Jeff S. Healey7Takanori Ikeda8Trudie C. A. Lobban9Amam Mbakwem10Calambur Narasimhan11Lis Neubeck12Peter Noseworthy13Daniel M. Philbin14Fausto J. Pinto15Joselyn Rwebembera16Renate B. Schnabel17Jesper Hastrup Svendsen18Luis Aguinaga19Elena Arbelo20Michael Böhm21Hasan Ali Farhan22F. D. Richard Hobbs23Antoni Martínez-Rubio24Claudio Militello25Nitish Naik26Jean Jacques Noubiap27Pablo Perel28Daniel José Piñero29Antonio Luiz Ribeiro30Janina Stepinska31Heart Research Institute, University of Sydney, SydneyLeipzig Heart Institute, LeipzigUniversity College London, LondonQueen’s University, KingstonNational Heart Centre SingaporeBeijing Anzhen Hospital, Capital Medical UniversityQueen’s University BelfastMcMaster University, Hamilton, OntarioToho University Faculty of Medicine, TokyoArrhythmia Alliance & Atrial Fibrillation Association, Stratford Upon AvonLagos University Teaching Hospital, Idi Araba, LagosAIG Hospitals, Gachibowli, TelanganaEdinburgh Napier University, EdinburghMayo Clinic, RochesterBrown University, Providence, Rhode IslandSanta Maria University Hospital (CHULN), CAML, CCUL, LisboaUganda Heart Institute, KampalaUniversity Heart and Vascular Centre HamburgCopenhagen University Hsopital – Rigshospitalet and University of CopenhagenCentro integral de arritmias Tucuman, TucumanHospital Clinic de Barcelona, Universitat de BarcelonaUniversitätsklinikum des Saarlandes, Hornburg/SaarBaghdad Heart Center, BaghdadUniversity of Oxford, OxfordUniversity Hospital of Sabadell, Universitat Autonoma de BarcelonaSanatorio Sagrado Corazón. OSECAC. Buenos AiresAll India Institute of Medical Sciences, New DelhiUniversity of Adelaide, AdelaideWorld Heart Federation, GenevaUniversidad de Buenos AiresUniversidade Federal de Minas Gerais, Belo Horizonte, MGNational Institute of Cardiology, WarsawThe 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.https://globalheartjournal.com/articles/1023atrial fibrillationafcardiologywhfnoacsdigital technology |
| spellingShingle | Ben Freedman Gerhard Hindricks Amitava Banerjee Adrian Baranchuk Chi Keong Ching Xin Du Donna Fitzsimons Jeff S. Healey Takanori Ikeda Trudie C. A. Lobban Amam Mbakwem Calambur Narasimhan Lis Neubeck Peter Noseworthy Daniel M. Philbin Fausto J. Pinto Joselyn Rwebembera Renate B. Schnabel Jesper Hastrup Svendsen Luis Aguinaga Elena Arbelo Michael Böhm Hasan Ali Farhan F. D. Richard Hobbs Antoni Martínez-Rubio Claudio Militello Nitish Naik Jean Jacques Noubiap Pablo Perel Daniel José Piñero Antonio Luiz Ribeiro Janina Stepinska World Heart Federation Roadmap on Atrial Fibrillation – A 2020 Update Global Heart atrial fibrillation af cardiology whf noacs digital technology |
| title | 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_short | World Heart Federation Roadmap on Atrial Fibrillation – A 2020 Update |
| title_sort | world heart federation roadmap on atrial fibrillation a 2020 update |
| topic | atrial fibrillation af cardiology whf noacs digital technology |
| url | https://globalheartjournal.com/articles/1023 |
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