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Lower Risk of Ischemic Stroke and Major Bleeding Events with Direct Oral Anticoagulants vs. Warfarin
According to this study: Patients with valvular atrial fibrillation who were new users of direct oral anticoagulants had lower rates of ischemic stroke or systemic embolism and major bleeding than new users of warfarin.PMID:34156381 | DOI:10.1097/01.NAJ.0000758508.43335.04
Source: The American Journal of Nursing - June 22, 2021 Category: Nursing Authors: Karen Rosenberg Source Type: research

Cost Analysis of a Dedicated Outpatient Clinic in Patients With Newly Diagnosed Atrial Fibrillation
Conclusion Total expenses for AF-related hospital resource utilization in the intervention group were higher, but the expenses for AF-related outpatient visits were significantly lower. There was a trend toward lower all-cause mortality in the intervention group, although the differences were not statistically significant. More research is needed investigating whether a multidisciplinary AF clinic is cost-effective.
Source: Journal of Cardiovascular Nursing - June 18, 2021 Category: Nursing Tags: Feature Article/Online Only Source Type: research

Atrial Fibrillation: An Update for Home Healthcare Clinicians
This article reviews the guideline for the management of patients with atrial fibrillation by the American College of Cardiology and American Heart Association Task Force on Clinical Practice Guidelines and provides recommendations for home healthcare clinicians.
Source: Home Healthcare Nurse - January 1, 2021 Category: Nursing Tags: Feature: NCPD Connection Source Type: research

Multimorbidity in Patients With Acute Coronary Syndrome Is Associated With Greater Mortality, Higher Readmission Rates, and Increased Length of Stay: A Systematic Review
Conclusions Multimorbid patients with ACS are at a greater risk for worse outcomes than their nonmultimorbid counterparts. Lack of consistent measurement makes interpretation of the impact of multimorbidity challenging and emphasizes the need for more research on multimorbidity's effects on postdischarge healthcare utilization.
Source: Journal of Cardiovascular Nursing - October 21, 2020 Category: Nursing Tags: Feature Article/Online Only Source Type: research

Multimorbidity in Patients With Acute Coronary Syndrome Is Associated With Greater Mortality, Higher Readmission Rates, and Increased Length of Stay: A Systematic Review.
CONCLUSIONS: Multimorbid patients with ACS are at a greater risk for worse outcomes than their nonmultimorbid counterparts. Lack of consistent measurement makes interpretation of the impact of multimorbidity challenging and emphasizes the need for more research on multimorbidity's effects on postdischarge healthcare utilization. PMID: 32925234 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Nursing - September 8, 2020 Category: Nursing Authors: Breen K, Finnegan L, Vuckovic K, Fink A, Rosamond W, DeVon HA Tags: J Cardiovasc Nurs Source Type: research

Examining Adherence to Medication in Patients With Atrial Fibrillation: The Role of Medication Beliefs, Attitudes, and Depression
Conclusions Specifying medication type is important when examining nonadherence in chronic conditions. Concerns about anticoagulants, rather than depression, were significantly associated with nonadherence to anticoagulants but not antiarrhythmics. Anticoagulant concerns should be targeted at AF clinics, with an aim to reduce nonadherence and potentially modifiable adverse outcomes such as stroke.
Source: Journal of Cardiovascular Nursing - June 17, 2020 Category: Nursing Tags: Atrial Fibrillation Source Type: research

The Symptom Experience of Patients With Atrial Fibrillation Before Their Initial Diagnosis
Conclusions The current study identified challenges participants experienced in developing awareness of their AF symptoms, the complex cognitive processes associated with evaluation, and barriers that made it difficult to respond to AF symptoms in a timely manner. Understanding the prediagnosis symptom experience from the patient's perspective is essential for the enhancement of current AF screening practices.
Source: Journal of Cardiovascular Nursing - June 17, 2020 Category: Nursing Tags: Atrial Fibrillation Source Type: research

The Symptom Experience of Patients With Atrial Fibrillation Before Their Initial Diagnosis.
CONCLUSIONS: The current study identified challenges participants experienced in developing awareness of their AF symptoms, the complex cognitive processes associated with evaluation, and barriers that made it difficult to respond to AF symptoms in a timely manner. Understanding the prediagnosis symptom experience from the patient's perspective is essential for the enhancement of current AF screening practices. PMID: 32011349 [PubMed - as supplied by publisher]
Source: The Journal of Cardiovascular Nursing - January 30, 2020 Category: Nursing Authors: Wilson RE, Rush KL, Hatt L, Reid RC, Laberge CG Tags: J Cardiovasc Nurs Source Type: research

Common Postcardiothoracic Surgery Arrhythmias
Cardiac arrhythmias are common after cardiac surgery and have profound sequelae. Bradycardias are typically transient and have reversible causes; however, persistent atrioventricular block is an indicator for permanent pacemaker implantation after valvular surgery. Transcatheter aortic valve surgery is associated with even higher rates of permanent pacemaker implantation. Atrial fibrillation, the most common postoperative arrhythmia, is associated with ischemic stroke, myocardial infarction, congestive heart failure, and short-term mortality. Ventricular arrhythmias have extremely high in-hospital mortality, as well as lon...
Source: Critical Care Nursing Clinics of North America - July 4, 2019 Category: Nursing Authors: Kirstan Clay-Weinfeld, Melissa Callans Source Type: research

Common Post Cardiothoracic Surgery Arrhythmias
Cardiac arrhythmias are common after cardiac surgery and have profound sequelae. Bradycardias are typically transient and have reversible causes; however, persistent atrioventricular block is an indicator for permanent pacemaker implantation after valvular surgery. Transcatheter aortic valve surgery is associated with even higher rates of permanent pacemaker implantation. Atrial fibrillation, the most common postoperative arrhythmia, is associated with ischemic stroke, myocardial infarction, congestive heart failure, and short-term mortality. Ventricular arrhythmias have extremely high in-hospital mortality, as well as lon...
Source: Critical Care Nursing Clinics of North America - July 4, 2019 Category: Nursing Authors: Kirstan Clay-Weinfeld, Melissa Callans Source Type: research

Catheter Ablation Improves Quality of Life for Atrial Fibrillation Patients.
Abstract Death, stroke, and cardiac arrest outcomes are comparable to drug therapy. PMID: 31135418 [PubMed - in process]
Source: The American Journal of Nursing - May 29, 2019 Category: Nursing Authors: Potera C Tags: Am J Nurs Source Type: research

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