Integrated Care for Atrial Fibrillation Management: The Role of the Pharmacist

Am J Med. 2022 Dec;135(12):1410-1426. doi: 10.1016/j.amjmed.2022.07.014. Epub 2022 Aug 21.

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.

Keywords: Atrial fibrillation; Clinical trial; Integrated care; Observational study; Pharmacist.

Publication types

  • Review

MeSH terms

  • Atrial Fibrillation* / drug therapy
  • Delivery of Health Care, Integrated*
  • Humans
  • Pharmacies*
  • Pharmacists
  • Stroke* / etiology
  • Stroke* / prevention & control