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. 2022 Aug 1;34(8):957-962.
doi: 10.1097/JXX.0000000000000743.

Telemedicine practices in adult patients with atrial fibrillation

April Kathleen Watkins  1 , Angela P Clark, Jane Dimmitt Champion
Affiliations

Telemedicine practices in adult patients with atrial fibrillation

April Kathleen Watkins et al. J Am Assoc Nurse Pract. .

Abstract

Background: Atrial fibrillation is a cardiac rhythm disorder associated with embolic stroke risk, decreased functional capacity, and worsening quality of life. Increasing patient access to atrial fibrillation specialists via telemedicine has the potential to improve patient outcomes.

Objectives: The purpose of this systematic review was to describe atrial fibrillation telehealth education treatment programs unrelated to postablation or early detection of atrial fibrillation.

Data sources: PubMed and CINAHL databases were searched using key terms identified by the authors and informed by a panel of clinicians with expertise in cardiac electrophysiology.

Conclusions: Little literature exists on educational telehealth programs for atrial fibrillation treatment unrelated to postablation or early detection of atrial fibrillation. Only three studies met our inclusion criteria. Three themes emerged from review of these studies: (a) atrial fibrillation requires specialty care that is difficult to obtain; (b) comprehensive atrial fibrillation education should include a broad overview of the condition, management options, stroke prevention, and symptom management; and (c) telemedicine is effective for diagnosing and managing atrial fibrillation.

Implications for practice: Telemedicine clinics for atrial fibrillation represent an emerging form of clinically important health care delivery. These clinics can potentially decrease wait time for specialty care access, reduce unnecessary emergency department visits, reduce stroke risk, and increase guideline adherence. Nurse practitioners are well suited to create and lead telemedicine atrial fibrillation clinics with relevant clinical expertise and collaborative skills.

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Conflict of interest statement

The authors report no conflicts of interest.

References

    1. Atzema C. L., Barrett T. W. (2015). Managing atrial fibrillation. Annals of Emergency Medicine, 65(5), 532–539. https://doi.org/10.1016/j.annemergmed.2014.12.010 . - DOI
    1. Berti D., Hendriks J. M. L., Brandes A., Deaton C., Crijns H. J. G. M., Camm A. J., Hindricks G., Moons P., Heidbuchel H. (2013). A proposal for interdisciplinary, nurse-coordinated atrial fibrillation expert programmes as a way to structure daily practice. European Heart Journal, 34(35), 2725–2730. https://doi.org/10.1093/eurheartj/eht096 . - DOI
    1. Colilla S., Crow A., Petkun W., Singer D. E., Simon T., Liu X. (2013). Estimates of current and future incidence and prevalence of atrial fibrillation in the U.S. adult population. The American Journal of Cardiology, 112(8), 1142–1147. https://doi.org/10.1016/j.amjcard.2013.05.063 . - DOI
    1. Dang D., Dearholt S. L. (2017). Johns Hopkins nursing evidence-based practice: Model and guidelines. In Sigma theta tau international (3rd ed.).
    1. Dieleman J. L., Cao J., Chapin A., Chen C., Li Z., Liu A., Horst C., Kaldjian A., Matyasz T., Scott K. W., Bui A. L., Cambell M., Duber H. C., Dunn A., C., Flaxman A. D., Fitzmaurice C., Naghavi M., Sadat N., Shieh P., Murray C. J. L. (2020). US health care spending by payer and health condition, 1996-2016. Jsls: Journal of the Society of Laparoendoscopic Surgeons, 323(9), 863–884. https://doi.org/10.1001/jama.2020.0734 . - DOI

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