Loo Bryan, Parnell Cath, Brook Gerald, Southall Ed, Mahy Ian
South West Cardiothoracic Centre, Department of Cardiology, Derriford Hospital, Plymouth.
Clin Med (Lond). 2009 Jun;9(3):219-23. doi: 10.7861/clinmedicine.9-3-219.
The National Institute for Health and Clinical Excellence (NICE) guidelines for the management of atrial fibrillation were published in June 2006. It was anticipated that they would potentially lead to increased demand for echocardiography (ECHO), increased access to secondary care services (for example for cardioversion), and require additional resources for monitoring anticoagulation. A primary care survey was therefore initiated in South Devon, in advance of publication of the guidelines as a snapshot of existing practice, to determine any additional resources and education required to meet the new standards. The main aim was to determine what proportion of patients were managed exclusively in primary care, how frequently patients were investigated by ECHO and whether anticoagulation was being appropriately targeted at patients at high risk of thromboembolic events.
英国国家卫生与临床优化研究所（NICE）关于心房颤动管理的指南于2006年6月发布。预计这些指南可能会导致对超声心动图（ECHO）的需求增加，获得二级医疗服务（如心脏复律）的机会增多，以及需要额外资源来监测抗凝情况。因此，在指南发布之前，在南德文郡开展了一项初级保健调查，作为现有实践的一个快照，以确定达到新标准所需的任何额外资源和教育。主要目的是确定仅在初级保健中接受管理的患者比例、患者接受ECHO检查的频率，以及抗凝治疗是否适用于血栓栓塞事件高风险患者。
