Nurse-led Management of Atrial Fibrillation in Patients With Implanted Cardiac Devices

This report describes the management of atrial fibrillation (AFib) events diagnosed through cardiac implantedelectronic devices in an advanced nurse practitioner-led clinic. AFib events necessitating medical evaluationwere managed with a standardized decision tree and recorded for 1 year. Among 1980...

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Detalles Bibliográficos
Autores: Cano-Valls, Alba, Martínez Momblán, Ma. Antonia, Domingo Criado, Rebeca, Niebla Bellido, Mireia, Venturas Nieto, Montserrat, Roca Luque, Ivo, Tolosana, José M. (José María), Mont Girbau, Lluís, Guasch i Casany, Eduard
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:dnet:ubarcelona__::2e47c77e95b37e8eb9c4673bee8e7923
Acceso en línea:https://hdl.handle.net/2445/228744
Access Level:acceso abierto
Palabra clave:Fibril·lació auricular
Desfibril·ladors cardioversors implantables
Fibril·lació ventricular
Atrial fibrillation
Implantable cardioverter-defibrillators
Ventricular fibrillation
Descripción
Sumario:This report describes the management of atrial fibrillation (AFib) events diagnosed through cardiac implantedelectronic devices in an advanced nurse practitioner-led clinic. AFib events necessitating medical evaluationwere managed with a standardized decision tree and recorded for 1 year. Among 1980 follow-up assessments, 6% experienced AFib events (n ¼ 119), mostly because of de novo AFib (58%), rapid ventricular rate (22%), and symptomatic AFib (20%). Only 11% were referred to the emergency department, and 83% were assessed by the general practitioner in the same month. Advanced nurse practitioners offer prompt AFib event management in patients with cardiac implanted electronic devices, supported by a structured care pathway ensuring timely medical assessment and treatment.