2026-04-17T00:48:48Zhttps://recercat.cat/oai/request

oai:recercat.cat:2072/4569052026-03-28T07:18:21Zcom_2072_98col_2072_378192

00925njm 22002777a 4500 dc Freedman, Ben author Hindricks, Gerhard author Banerjee, Amitava author Baranchuk, Adrian author Ching, Chi Keong author Du, Xin author Fitzsimons, Donna author Healey, Jeff S. author Ikeda, Takanori author Lobban, Trudie C. A. author Mbakwem, Amam author Narasimhan, Calambur author Neubeck, Lis author Noseworthy, Peter author Philbin, Daniel M. author Pinto, Fausto J. author Rwebembera, Joselyn author Schnabel, Renate B. author Svendsen, Jesper Hastrup author Aguinaga, Luis author Arbelo, Elena author Böhm, Michael author Farhan, Hasan Ali author Hobbs, F. D. Richard author Martinez Rubio, Antoni author Militello, Claudio author Naik, Nitish author Noubiap, Jean Jacques author Perel, Pablo author Piñeiro, Daniel José author Ribeiro, Antonio Luiz author Stepinska, Janina author 2021 The World Heart Federation (WHF) commenced a Roadmap initiative in 2015 to reduce the global burden of cardiovascular disease and resultant burgeoning of healthcare costs. Roadmaps provide a blueprint for implementation of priority solutions for the principal cardiovascular diseases leading to death and disability. Atrial fibrillation (AF) is one of these conditions and is an increasing problem due to ageing of the world's population and an increase in cardiovascular risk factors that predispose to AF. The goal of the AF roadmap was to provide guidance on priority interventions that are feasible in multiple countries, and to identify roadblocks and potential strategies to overcome them. Since publication of the AF Roadmap in 2017, there have been many technological advances including devices and artificial intelligence for identification and prediction of unknown AF, better methods to achieve rhythm control, and widespread uptake of smartphones and apps that could facilitate new approaches to healthcare delivery and increasing community AF awareness. In addition, the World Health Organisation added the non-vitamin K antagonist oral anticoagulants (NOACs) to the Essential Medicines List, making it possible to increase advocacy for their widespread adoption as therapy to prevent stroke. These advances motivated the WHF to commission a 2020 AF Roadmap update. Three years after the original Roadmap publication, the identified barriers and solutions were judged still relevant, and progress has been slow. This 2020 Roadmap update reviews the significant changes since 2017 and identifies priority areas for achieving the goals of reducing death and disability related to AF, particularly targeted at low-middle income countries. These include advocacy to increase appreciation of the scope of the problem; plugging gaps in guideline management and prevention through physician education, increasing patient health literacy, and novel ways to increase access to integrated healthcare including mHealth and digital transformations; and greater emphasis on achieving practical solutions to national and regional entrenched barriers. Despite the advances reviewed in this update, the task will not be easy, but the health rewards of implementing solutions that are both innovative and practical will be great. Atrial fibrillation AF Cardiology WHF NOACs Digital technology World Heart Federation Roadmap on Atrial Fibrillation - A 2020 Update