Gender differences and daily variation in atrial fibrillation risk factor profiles: Considerations for risk factor management

Pluymaekers, Nikki A H A; Hermans, Astrid N L; Middeldorp, Melissa E.; Kadhim, Kadhim; Crijns, Harry J.G.M.; Sanders, Prashanthan; Linz, Dominik

doi:10.1016/j.ijcha.2019.100442

Cited by 4 publications

(5 citation statements)

References 26 publications

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“…Even a quick review of these risk behaviors would indicate that many of these changes are indicated as part of a healthy lifestyle for all patients. The progression of AF can be associated with the presence and combination of behavioral risk factors, and young-onset individuals may even have risk factors that are maintaining their condition ( 71 ). However, the challenges for AF patients are multiplicative because existing research in both China and in Europe suggest that as few as 4% of AF patients are engaged in a fully “healthy lifestyle” ( 72 ).…”

Section: Fear Of Recurrence: Psychological and Behavioral Aspectsmentioning

confidence: 99%

Fear of Recurrence of Atrial Fibrillation: Translating a Cancer Fear Model to the Atrial Fibrillation Patient Experience

et al. 2022

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BackgroundAtrial fibrillation occurs when rapid and disorganized electrical signals cause the atria in the heart to beat irregularly and is associated with an increased risk for stroke. Despite medical advancements, first and second line atrial fibrillation treatments exhibit significant recurrence rates. Because of this, atrial fibrillation patients often experience disease-specific fears that are not routinely assessed and targeted in clinical management. Fear of recurrence models in cancer research and other cardiac-specific fears have paved the way for a patient-centric approach to disease intervention.PurposeClinical assessment focused solely on the taxonomy of anxiety disorders may miss key components unique to the atrial fibrillation patient experience. An anxiety disorder diagnosis in the presence of an arrhythmia could be misleading and ultimately fail to address patient needs. Modeled from the cancer literature, providers may benefit from a broader disease specific conceptualization for AF patients that differs from a general DSM-5 diagnosis.AimsThe objectives of this paper are: (1) to review the medical aspects of atrial fibrillation, (2) to examine the comparability of fear of recurrence concept from cancer literature to the atrial fibrillation patient, and (3) to suggest considerations of these novel concepts in patient care.Future DirectionsIncreased understanding of fear of recurrence among atrial fibrillation patients aims to define and assess fear of recurrence components, determine treatment targets, and ultimately improve patient outcomes.

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Section: Fear Of Recurrence: Psychological and Behavioral Aspectsmentioning

confidence: 99%

Fear of Recurrence of Atrial Fibrillation: Translating a Cancer Fear Model to the Atrial Fibrillation Patient Experience

et al. 2022

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“…However, several AF risk factors may show a high visit-to-visit or even day-to-day variability and lifestyle components such as physical activity, diet and sleep behaviors may be variable over time. [11][12][13][14][15][16][17] This visit-to-visit or day-to-day variability does not just complicate the detection of AF risk factors but may also have a prognostic implication. High visit-to-visit variability in risk factors is associated with increased risk of incident new-onset AF, worse cardiovascular outcome and increased mortality.…”

Section: Remote Assessment and Management Of Af Risk Factorsmentioning

confidence: 99%

On‐demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation

Hermans¹,

Velden²,

Gawałko

et al. 2020

Clinical Cardiology

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Background: Although novel teleconsultation solutions can deliver remote situations that are relatively similar to face-to-face interaction, remote assessment of heart rate and rhythm as well as risk factors remains challenging in patients with atrial fibrillation (AF). Hypothesis. Mobile health (mHealth) solutions can support remote AF management. Methods: Herein, we discuss available mHealth tools and strategies on how to incorporate the remote assessment of heart rate, rhythm and risk factors to allow comprehensive AF management through teleconsultation. Results: Particularly, in the light of the coronavirus disease 2019 (COVID-19) pandemic, there is decreased capacity to see patients in the outpatient clinic and mHealth has become an important component of many AF outpatient clinics. Several validated mHealth solutions are available for remote heart rate and rhythm monitoring as well as for risk factor assessment. mHealth technologies can be used for (semi-)continuous longitudinal monitoring or for short-term on-demand monitoring, dependent on the respective requirements and clinical scenarios. As a possible solution to improve remote AF care through teleconsultation, we introduce the on-demand TeleCheck-AF mHealth approach that allows remote app-based assessment of heart rate and rhythm around teleconsultations, which has been developed and implemented during the COVID-19 pandemic in Europe. Conclusion: Large scale international mHealth projects, such as TeleCheck-AF, will provide insight into the additional value and potential limitations of mHealth strategies to remotely manage AF patients. Such mHealth infrastructures may be well suited within an integrated AF-clinic, which may require redesign of practice and reform of health care systems. How to cite this article: Hermans ANL, van der Velden RMJ, Gawalko M, et al. On-demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation.

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“…In 442 consecutive ambulatory patients with AF who were considered candidates for rhythm control as well as in prospectively studied 579 patients with paroxysmal AF, the Epworth sleepiness scale poorly predicted SDB, regardless of the degree of SDB tested. SDB is common but most AF patients report low daytime sleepiness levels [4] , [29] , [30] , [31] . The lack of excessive daytime sleepiness should not preclude patients from being investigated for the potential presence of concomitant SDB.…”

Section: How To Screen For Sdb In Af Patientsmentioning

confidence: 99%

Sleep apnea and atrial fibrillation: Update 2020

Linz

Dobrev

2020

IJC Heart & Vasculature

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Gender differences and daily variation in atrial fibrillation risk factor profiles: Considerations for risk factor management

Cited by 4 publications

References 26 publications

Fear of Recurrence of Atrial Fibrillation: Translating a Cancer Fear Model to the Atrial Fibrillation Patient Experience

Fear of Recurrence of Atrial Fibrillation: Translating a Cancer Fear Model to the Atrial Fibrillation Patient Experience

On‐demand mobile health infrastructures to allow comprehensive remote atrial fibrillation and risk factor management through teleconsultation

Sleep apnea and atrial fibrillation: Update 2020

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