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Integrated Care for Atrial Fibrillation Management: The Role of the Pharmacist - 17/11/22

Doi : 10.1016/j.amjmed.2022.07.014 
Leona A. Ritchie, MPharm a, b, , Peter E. Penson, PhD a, b, c, Asangaedem Akpan, MPhil d, e, Gregory Y.H. Lip, MD a, b, f, g, Deirdre A. Lane, PhD a, b, f, g
a Liverpool Centre for Cardiovascular Science, University of Liverpool, United Kingdom 
b Department of Cardiovascular and Metabolic Medicine, Institute of Life Course and Medical Sciences, University of Liverpool, United Kingdom 
c Clinical Pharmacy and Therapeutics Research Group, School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, United Kingdom 
d Musculoskeletal and Ageing Science, Institute of Life Course and Medical Sciences, University of Liverpool, United Kingdom 
e Liverpool University Hospitals NHS Foundation Trust, United Kingdom 
f Liverpool Heart and Chest Hospital NHS Foundation Trust, United Kingdom 
g Aalborg Thrombosis Research Unit, Department of Clinical Medicine, Aalborg University, Denmark 

Requests for reprints should be addressed to Leona A. Ritchie, MPharm, Liverpool Centre for Cardiovascular Science, William Henry Duncan Building, University of Liverpool, Liverpool L7 8TX, UK.Liverpool Centre for Cardiovascular ScienceWilliam Henry Duncan BuildingUniversity of LiverpoolLiverpoolL7 8TXUK

Abstract

Within Europe and the Asia-Pacific, the Atrial Fibrillation Better Care (ABC) pathway is the gold standard integrated care strategy for atrial fibrillation management. Atrial fibrillation diagnosis should be confirmed and characterized (CC) prior to implementation of ABC pathway components: 1) "A"- Anticoagulation/Avoid stroke; 2) "B"- Better symptom management; and 3) "C"- Cardiovascular and other comorbidity optimization. Pharmacists have the potential to expedite integrated care for atrial fibrillation across the health care continuum: hospital, community pharmacy, and general practice. This review summarizes the available evidence base for pharmacist-led implementation of the "CC to ABC" model.

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Keywords : Atrial fibrillation, Clinical trial, Integrated care, Observational study, Pharmacist


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 Funding: None.
 Conflicts of Interest: PEP owns 4 shares in AstraZeneca PLC and has received honoraria or travel reimbursement for events sponsored by AKCEA, Amgen, AMRYT, Link Medical, Napp, and Sanofi. AA has received a National Institute for Health Research Applied Research Collaboration grant, a Liverpool Clinical Commissioning Group grant, honoraria for lectures on behalf of Astellas and Profile Pharma, support with meeting and travel on behalf of the British Geriatrics Society, has consulted for the British Medical Journal, is on the external advisory group for the cognitive frailty interdisciplinary network, the study steering committee for VOICE2 and is the Deputy chair for the British Geriatrics Society England Council. GYHL has been a consultant and speaker for Bristol-Myers Squibb (BMS)/Pfizer, Boehringer Ingelheim, and Daiichi-Sankyo; no fees are received personally. LAR has no conflicts of interest to declare. DAL has received investigator-initiated educational grants from BMS, has been a speaker for Bayer, Boehringer Ingelheim, and BMS/Pfizer, and has consulted for BMS and Boehringer Ingelheim.
 Authorship: We can confirm that authors had access to the data and a role in writing the manuscript.


© 2022  The Authors. Publicado por Elsevier Masson SAS. Todos los derechos reservados.
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Vol 135 - N° 12

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