Atrial Fibrillation

Acute vs. Non Acute Referral Pathways

Referral Pathways: OhioHealth’s referral pathways for treating acute vs. non-acute AFib patients.

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2023 HRS/EHRA/APHRS/LAHRS expert consensus statement on practical management of the remote device clinic

Guidelines/Clinical Documents: Remote monitoring is beneficial for the management of patients with cardiovascular implantable electronic devices by impacting morbidity and mortality. With increasing numbers of patients using remote monitoring, keeping up with higher volume of remote monitoring transmissions creates challenges for device clinic staff. This international multidisciplinary document is intended to guide cardiac electrophysiologists, allied professionals, and hospital administrators in managing remote monitoring clinics. This includes guidance for remote monitoring clinic staffing, appropriate clinic workflows, patient education, and alert management. This expert consensus statement also addresses other topics such as communication of transmission results, use of third-party resources, manufacturer responsibilities, and programming concerns. The goal is to provide evidence-based recommendations impacting all aspects of remote monitoring services. Gaps in current knowledge and guidance for future research directions are also identified.

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AF Agile Pathway – Emergency Department

AF Agile Pathway – Emergency Department

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COMPASS Patient Education Whiteboard Videos

Education – Clinical: Series of short, easy-to-understand patient videos from the HRS COMPASS project emphasizing Early Rhythm Management. Videos can be used with patients and caregivers to simplify overwhelming concepts such as:
What is Atrial Fibrillation?
What is Rhythm Control?
Why is Rhythm Control Important?

The COMPASS project is supported by Sanofi and Biosense Webster, Inc.

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COMPASS Early Rhythm Management Webinar: Early Rhythm Control: The New Paradigm in Atrial Fibrillation

Education – Clinical: Join esteemed moderators and panelists to learn about a multidisciplinary approach to atrial fibrillation (AFib), different facets of AFib treatment, and the shift to early rhythm control for AFib management. Supported by Sanofi and Biosense Webster, these three complimentary webinars each contain thoughtful presentations, recorded Q&As with a panel of experts, and full transcripts. In this episode, Jason G. Andrade, MD, FHRS, T. Jared Bunch, MD, FHRS, Mina K. Chung, MD, FHRS, Thomas Deering, MD, MBA, FHRS, CCDS, Andrea Natale, MD, FHRS, and Jonathan P. Piccini, Sr., MD, MHS, FHRS, discuss clinical outcomes of EAST-AFNET 4 relating to mortality, stroke, and readmission, describe an ideal timeline for implementing rhythm control protocol, and join in a panel discussion with Andrea M. Russo, MD, FHRS.

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COMPASS Early Rhythm Management Webinar: My Patient Has Atrial Fibrillation – What Now?

Education – Clinical: Join esteemed moderators and panelists to learn about a multidisciplinary approach to atrial fibrillation (AFib), different facets of AFib treatment, and the shift to early rhythm control for AFib management. Supported by Sanofi and Biosense Webster, these three complimentary webinars each contain thoughtful presentations, recorded Q&As with a panel of experts, and full transcripts. AFib patients can be seen and treated at multiple points in the healthcare system. In this episode, Thomas Deering, MD, MBA, FHRS, Thomas Deneke, MD, PhD, FHRS, Gerhard Hindricks, MD, Kathleen Kenny, MD, Nassir F. Marrouche, MD, FHRS, and Prashanthan Sanders, MBBS, PhD, FHRS, explore a multidisciplinary approach to diagnosing and treating AFib in a primary care or emergency medicine setting. This activity covers rhythm control options and includes a Q&A moderated by Andrea M. Russo, MD, FHRS.

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COMPASS Early Rhythm Management Webinar: Different Facets of AFib Management

Education – Clinical: Join esteemed moderators and panelists to learn about a multidisciplinary approach to atrial fibrillation (AFib), different facets of AFib treatment, and the shift to early rhythm control for AFib management. Supported by Sanofi and Biosense Webster, these three complimentary webinars each contain thoughtful presentations, recorded Q&As with a panel of experts, and full transcripts. In this episode, Luigi Di Biase, MD, PhD, FHRS, addresses the best rhythm control strategies for early intervention in AF patients, including new technologies to potentially improve ablation outcome, identifying patients most suitable for LAA occlusion, and how lifestyle changes impact the AF disease course. Additional presentations and a Q&A-based discussion are also included with John Allison, MD, Devi G. Nair, MD, FHRS, Sanghamitra Mohanty, MBBS, MD, MS, FHRS, and Andrea Natale, MD, FHRS.

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QI Care Pathway for Early Rhythm Control

QI Care Pathway for rhythm management of newly diagnosed AFib patients. Includes criteria for early rhythm management and pathways for patients with structural heart disease vs without.

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Four Pillars of AF Management

Presentations and Graphics: Graphic representation of the four pillars for AFib management.

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EP News – QI and Outcomes – OCT 2021 AF CoE Success (Deering)

Journal Articles: Atrial fibrillation (AF) is increasing in age-adjusted incidence and global prevalence, and it is associated with a number of adverse clinical and fiscal outcomes (Chugh et al, Circulation 2014;129:837, PMID 24345399). While treatment advances have improved clinical outcomes, existing AF care delivery processes typically are fragmented and disconnected. This lack of coordination frequently limits the achievement of high-quality, guideline-directed clinical outcomes (Deshmukh et al, Circulation 2013;128:2104, PMID 24061087).

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