Atrial Fibrillation: A Multidisciplinary Approach to Improving Patient Outcomes
A Multidisciplinary Approach to Improving Patient Outcomes
Cardiotext Publishing
1st Edition
Published on 15. May 2015
304 pages
978-1-935395-58-4 (ISBN)
Description
Atrial Fibrillation: A Multidisciplinary Approach to Improving Patient Outcomes, provides a current and comprehensive update on pathophysiology, epidemiology, management strategies of rate control, pharmacologic and nonpharmacologic approaches to rhythm control, risk stratification for stroke and bleeding, anticoagulant therapy, and left atrial occlusion devices. The contributions by experienced internists, cardiologists, electrophysiologists, surgeons, anesthesiologists, pharmacists, nurse practitioners, and nurse educators provide a unique perspective. Case studies of paroxysmal, persistent, and permanent atrial fibrillation provide clinical context incorporating recent evidence and best practices for the multidisciplinary approach to improving patient outcomes.
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Joseph Alpert | Lynne T. Braun | Gerald Fletcher
Atrial Fibrillation
A Multidisciplinary Approach to Improving Patient Outcomes
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11/2016
Cardiotext Publishing
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Content
- Cover
- Title Page
- Copyright
- Dedication
- Contents
- About the Editors-in-Chief
- About the Authors
- Foreword
- Preface
- Abbreviations
- Section 1: Atrial Fibrillation: Background, Evaluation, and Management
- Chapter 1: Classification and Epidemiology of Atrial Fibrillation
- INTRODUCTION
- CLASSIFICATION
- EPIDEMIOLOGY
- LONGITUDINAL HISTORY
- PATHOPHYSIOLOGY
- CONCLUSIONS
- REFERENCES
- Chapter 2: Clinical Evaluation of the Atrial Fibrillation Patient
- INTRODUCTION
- A SYSTEMATIC, PROTOCOL-BASED APPROACH TO PATIENT EVALUATION
- SOFTWARE PROGRAM FOR DATA COLLECTION, STORAGE, AND DECISION AIDS
- DECISION MAKING
- LIFESTYLE RECOMMENDATIONS
- CLINICAL PEARLS
- CONCLUSION
- APPENDIX A: SELECTED SCREENSHOTS FROM THE DATA ENTRY/MANAGEMENT AND DECISION AID/REPORT GENERATION SOFTWARE
- APPENDIX B: EXAMPLE OF PATIENT EDUCATIONAL MATERIALS AND RELEVANT WEBSITES
- REFERENCES
- Chapter 3: Rhythm Management: Making the Choice Between Rate and Rhythm Control
- INTRODUCTION
- RATE CONTROL-WHAT IS IT?
- RHYTHM CONTROL-WHAT IS IT?
- COMPARISON OF THE IMPACT OF RATE- AND RHYTHM-CONTROL STRATEGIES ON OUTCOMES OTHER THAN ELECTROCARDIOGRAPHIC OBJECTIVES
- IMPACT OF CATHETER ABLATION IN COMPARISON OF RHYTHM-MANAGEMENT STRATEGIES
- CONCLUSION
- ACKNOWLEDGMENT
- REFERENCES
- Chapter 4: Rhythm Control: Cardioversion and Antiarrhythmic Agents
- INTRODUCTION
- CARDIOVERSION
- ELECTRICAL CARDIOVERSION
- PHARMACOLOGICAL CARDIOVERSION
- CONCLUSION
- REFERENCES
- Chapter 5: Strategies of Rate Control
- INTRODUCTION
- PHARMACOLOGIC RATE CONTROL
- RATE-CONTROL GOALS
- AF AND VENTRICULAR PREEXCITATION
- AV NODE ABLATION AND PACING
- AF AND CRT
- CONCLUSION
- REFERENCES
- Chapter 6: Nonpharmacologic Approaches to Rhythm Control-Ablation
- PATIENT SELECTION
- TECHNIQUES
- MANAGEMENT OF ANTICOAGULATION
- OUTCOMES
- CONCLUSION
- REFERENCES
- Chapter 7: Hybrid Treatment of Atrial Fibrillation: Thoracoscopic and Catheter Ablation of AF
- INTRODUCTION
- ENDOCARDIAL ABLATION
- EPICARDIAL SURGICAL ABLATION
- HYBRID ABLATION
- CONCLUSION
- REFERENCES
- Chapter 8: Left Atrial Appendage Excision, Ligation, and Occlusion Devices
- ATRIAL FIBRILLATION AND STROKE
- LEFT ATRIAL APPENDAGE
- LIMITATIONS OF ORAL ANTICOAGULATION
- LEFT ATRIAL APPENDAGE EXCLUSION: SURGICAL TECHNIQUES
- LEFT ATRIAL APPENDAGE EXCLUSION: TRANSCATHETER TECHNIQUES
- CONCLUSIONS
- REFERENCES
- Chapter 9: Atrial Fibrillation: A Surgical Approach to Improving Patient Outcomes
- INTRODUCTION
- HISTORY OF SURGICAL ABLATION FOR AF
- DEVELOPMENT OF THE COX-MAZE PROCEDURE
- PATIENT SELECTION
- SURGICAL TECHNIQUES
- RECOVERY AND COMPLICATIONS
- SURGICAL RESULTS
- CONCLUSION
- ACKNOWLEDGMENT
- REFERENCES
- Section 2: Multidisciplinary Team Approach to the Care of the Atrial Fibrillation Patient
- Chapter 10: Anesthesia Care for the Atrial Fibrillation Patient: Cardioversion and AF Ablation
- PREANESTHESIA EVALUATION
- PROCEDURAL ANESTHESIA
- POSTPROCEDURE
- CONCLUSION
- REFERENCES
- Chapter 11: The Role of the Pharmacist
- INTRODUCTION
- THE INPATIENT PHARMACIST
- THE AMBULATORY CARE PHARMACIST
- THE COMMUNITY PHARMACIST
- CONCLUSION
- REFERENCES
- Chapter 12: The Physician's Role in the Management of the Atrial Fibrillation Patient: Role of the Primary Care Physician and Cardiologist
- INTRODUCTION
- ROLE OF THE PRIMARY CARE PHYSICIAN IN THE INITIAL MANAGEMENT OF AF
- ROLE OF THE PRIMARY CARE PHYSICIAN AND CARDIOLOGIST IN THE SUBSEQUENT MANAGEMENT OF AF
- THE PRIMARY CARE/SPECIALIST INTERACTION
- MANAGING ANTICOAGULATION
- CONCLUSION
- REFERENCES
- Chapter 13: The Nurse Practitioner's Role in the Management of Atrial Fibrillation
- DIAGNOSING AF
- THE CLASSIFICATION OF AF
- EVALUATION
- MANAGEMENT OF AF
- ANTICOAGULATION
- RHYTHM CONTROL
- THE ROLE OF THE NURSE PRACTITIONER
- CONCLUSION
- REFERENCES
- Chapter 14: Shared Decision Making for Patients with Atrial Fibrillation: Patient Preferences and Decision Aids
- INTRODUCTION
- PATIENT DECISION-MAKING MODELS
- TYPES OF DECISION MAKING
- SHARED DECISION MAKING
- ETHICAL CONCERNS RELATED TO PATIENT DECISION MAKING
- CHOICES FOR PATIENTS WITH AF TO CONSIDER
- DECISION AIDS
- CLINICAL APPLICATION OF SHARED DECISION MAKING FOR PATIENTS WITH AF
- CONCLUSION
- REFERENCES
- Section 3: Case Studies
- Chapter 15: Case Study: Paroxysmal Atrial Fibrillation
- CASE PRESENTATION
- CASE DISCUSSION
- ANTICOAGULATION
- CONCLUSION
- REFERENCES
- Chapter 16: Case Study: Should All Patients Be Anticoagulated after Ablation for Persistent Atrial Fibrillation?
- CASE INTRODUCTION
- EARLY MANAGEMENT OF PERSISTENT AF
- FAILURE OF ANTIARRHYTHMIC
- DOES THE AMOUNT OF AF CHANGE STROKE RISK?
- EFFICACY OF ABLATION IN CURING AF AND RISK OF STROKE AFTER ABLATION
- WHAT HAPPENS WHEN ANTICOAGULATION IS STOPPED?
- CASE CONCLUSION
- REFERENCES
- Chapter 17: Case Study: Permanent Atrial Fibrillation
- CASE PRESENTATION
- AF DEFINITIONS, TREATMENT GOALS, AND NATURAL HISTORY
- MECHANISMS/PATHOPHYSIOLOGY OF AF IN HEART FAILURE
- MANAGEMENT OF AF IN CHF PATIENTS
- VENTRICULAR RATE CONTROL
- UPSTREAM THERAPY AND PREVENTION OF AF
- CRT AND AF
- AV NODE ABLATION AND PACEMAKER THERAPY
- STROKE PREVENTION
- CASE DISCUSSION
- CONCLUSION
- REFERENCES
- Index
