Abstract

Complex Chronic Patients and Atrial Fibrillation: Association with Cognitive Deterioration and Heart Failure

Highlights

  • The demographic evolution in developed countries is characterised by the emergence of new and complex health needs due to chronic multimorbidity [1,2,3]

  • Persons with atrial fibrillation (AF) should be investigated for the presence of cognitive impairment and heart failure

  • A nurse-led, multidisciplinary home-based intervention - using an AF algorithm - should be able to demonstrate favourable effects in patients with AF by the use of an integrated approach directed to AF

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Summary

Introduction

The demographic evolution in developed countries is characterised by the emergence of new and complex health needs due to chronic multimorbidity [1,2,3]. From 3 to 4% of the population is composed of complex chronic patients, and one of their risks is the increase in the incidence of atrial fibrillation and/or cognitive deterioration [4,5,6]. It is expected that the number of individuals with atrial fibrillation will increase 150% in the four decades, especially in individuals aged over 80 years [7]. This way, this disease will be one of the main health economic burdens in the European population. The main objective of this study was to present the current findings on the association between AF and cognitive impairment and mortality risk among chronic complex outpatients (CCP)

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