Liverpool Centre for Cardiovascular Science, University of Liverpool, United Kingdom; Department of Cardiovascular and Metabolic Medicine, Institute of Life Course and Medical Sciences, University of Liverpool, United Kingdom.
Liverpool Centre for Cardiovascular Science, University of Liverpool, United Kingdom; Department of Cardiovascular and Metabolic Medicine, Institute of Life Course and Medical Sciences, University of Liverpool, United Kingdom; Clinical Pharmacy and Therapeutics Research Group, School of Pharmacy and Biomolecular Sciences, Liverpool John Moores University, United Kingdom.
Am J Med. 2022 Dec;135(12):1410-1426. doi: 10.1016/j.amjmed.2022.07.014. Epub 2022 Aug 21.
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.
在欧洲和亚太地区,心房颤动更好的护理(ABC)途径是心房颤动管理的金标准综合护理策略。在实施 ABC 途径的各个组成部分之前,应确认和描述(CC)心房颤动的诊断:1)“A”-抗凝/预防中风;2)“B”-更好的症状管理;和 3)“C”-心血管和其他合并症的优化。药剂师有潜力在整个医疗保健连续体中加速心房颤动的综合护理:医院、社区药房和全科医生。这篇综述总结了药剂师主导实施“CC 至 ABC”模式的现有证据基础。