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设计一个高效且注重质量的综合心房颤动护理中心。

Designing an Efficient and Quality-focused Integrated Atrial Fibrillation Care Center.

作者信息

Silverstein Joshua, Varosy Paul D, Godfrey Brigham, Cooper Christopher, Varley Allyson, Rajendra Anil, Morales Gustavo, Osorio Jose

机构信息

Mount Carmel Health System, Columbus, OH, USA.

Allegheny Health Network, Pittsburgh, PA, USA.

出版信息

J Innov Card Rhythm Manag. 2022 Oct 15;13(10):5196-5201. doi: 10.19102/icrm.2022.13107. eCollection 2022 Oct.

DOI:10.19102/icrm.2022.13107
PMID:36605293
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9635571/
Abstract

Atrial fibrillation (AF) represents a significant health care burden in the United States that will continue to increase as the population ages; thus, the introduction of cost-effective strategies to limit this burden is critical. The establishment of dedicated electrophysiology programs focusing on AF care within hospitals can improve patient care while providing added financial benefits for institutions if properly planned and delivered. This paper explains how to develop an efficient and quality-focused AF ablation program as part of a larger AF center of excellence by highlighting the experience of a single center and demonstrating how the same principles were adopted to implement a similar program at another institution.

摘要

心房颤动(AF)在美国是一项重大的医疗保健负担,并且随着人口老龄化将持续增加;因此,引入具有成本效益的策略来限制这一负担至关重要。在医院内建立专注于房颤护理的专门电生理项目,可以改善患者护理,同时如果规划和实施得当,还能为机构带来额外的经济收益。本文通过突出一个单一中心的经验,并展示如何在另一机构采用相同原则实施类似项目,解释了如何作为更大的卓越房颤中心的一部分,开发一个高效且注重质量的房颤消融项目。

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Letter from the Editor in Chief.主编来信。
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本文引用的文献

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High-Frequency, Low-Tidal-Volume Mechanical Ventilation Safely Improves Catheter Stability and Procedural Efficiency During Radiofrequency Ablation of Atrial Fibrillation.高频、低潮气量机械通气可安全提高心房颤动射频消融术中导管稳定性及操作效率。
Circ Arrhythm Electrophysiol. 2022 Apr;15(4):e010722. doi: 10.1161/CIRCEP.121.010722. Epub 2022 Mar 25.
2
A prospective multi-site registry of real-world experience of catheter ablation for treatment of symptomatic paroxysmal and persistent atrial fibrillation (Real-AF): design and objectives.一项针对症状性阵发性和持续性心房颤动导管消融治疗的真实世界经验的前瞻性多中心注册研究(Real-AF):设计和目标。
J Interv Card Electrophysiol. 2021 Dec;62(3):487-494. doi: 10.1007/s10840-021-01031-w. Epub 2021 Jul 2.
3
Catheter ablation or medical therapy to delay progression of atrial fibrillation: the randomized controlled atrial fibrillation progression trial (ATTEST).导管消融或药物治疗延缓心房颤动进展:随机对照心房颤动进展试验(ATTEST)。
Europace. 2021 Mar 8;23(3):362-369. doi: 10.1093/europace/euaa298.
4
Prospective implementation of a same-day discharge protocol for catheter ablation of paroxysmal atrial fibrillation.前瞻性实施阵发性心房颤动导管消融的当日出院方案。
J Interv Card Electrophysiol. 2021 Nov;62(2):419-425. doi: 10.1007/s10840-020-00914-8. Epub 2020 Nov 21.
5
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N Engl J Med. 2020 Oct 1;383(14):1305-1316. doi: 10.1056/NEJMoa2019422. Epub 2020 Aug 29.
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