open access publication

Article, 2024

Atrial fibrillation: epidemiology, screening and digital health

The Lancet Regional Health - Europe, ISSN 2666-7762, Volume 37, Page 100786, 10.1016/j.lanepe.2023.100786

Contributors

Linz, Dominik K 0000-0003-4893-0824 (Corresponding author) [1] [2] Gawałko, Monika 0000-0003-4619-9062 [2] [3] Betz, Konstanze 0000-0002-3943-3896 [2] [4] Hendriks, Jeroen M L 0000-0003-4326-9256 [5] [6] Lip, Gregory Yoke Hong [7] [8] Vinter, Nicklas 0000-0003-0558-8483 [8] [9] [10] Guo, Yu-Tao 0000-0002-7626-7751 [11] Johnsen, Soeren Paaske 0000-0002-2787-0271 [8]

Affiliations

  1. [1] University of Copenhagen
    2. [NORA names: KU University of Copenhagen; University; Denmark; Europe, EU; Nordic; OECD];
  2. [2] Maastricht University
    3. [NORA names: Netherlands; Europe, EU; OECD];
  3. [3] Medical University of Warsaw
    4. [NORA names: Poland; Europe, EU; OECD];
  4. [4] Department of Internal Medicine, Eifelklinik St. Brigida, Simmerath, Germany
    5. [NORA names: Germany; Europe, EU; OECD];
  5. [5] Flinders University
    6. [NORA names: Australia; Oceania; OECD];

Abstract

Atrial fibrillation (AF) is highly prevalent with a lifetime risk of about 1 in 3-5 individuals after the age of 45 years. Between 2010 and 2019, the global prevalence of AF has risen markedly from 33.5 million to 59 million individuals living with AF. Early detection of AF and implementation of appropriate treatment could reduce the frequency of complications associated with AF. International AF management guidelines recommend opportunistic and systematic screening for AF, but additional data are needed. Digital approaches and pathways have been proposed for early detection and for the transition to early AF management. Mobile health (mHealth) devices provide an opportunity for digital screening and should be part of novel models of care delivery based on integrated AF care pathways. For a broad implementation of mHealth-based, integrated care for patients with chronic diseases as AF, further high quality evidence is necessary. In this review, we present an overview of the present data on epidemiology, screening techniques, and the contribution of digital health solutions to the integrated management of AF. We also provide a systemic review on current data of digital and integrated AF management.

Keywords

AF care pathway, AF management, AF management guidelines, International, age, approach, appropriate treatment, atrial fibrillation, care, care delivery, care pathways, chronic diseases, complications associated with AF, contribution, data, delivery, detection, digital approach, digital health solutions, digital screens, disease, early detection, epidemiology, evidence, fibrillation, frequency, global prevalence, global prevalence of AF, guidelines, health, health solutions, implementation, implementation of appropriate treatment, individuals, integrated care, integrated management, lifetime, lifetime risk, mHealth-based, management, management guidelines, management of AF, mobile health, models of care delivery, novel model, overview, pathway, patients, prevalence of AF, quality, quality evidence, review, risk, screening, screening techniques, solution, systematic screening, systemic review, technique, transition, treatment, years

Data Provider: Digital Science

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