Innovation to Optimize Care and Outcomes of Patients with Atrial Fibrillation-Innovation to Optimize Care and Outcomes of Patients with Atrial Fibrillation

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Video Summary

During a session on digital health implementation for treating atrial fibrillation (AFib) at HRS San Diego, the speakers discussed leveraging digital health tools like smartwatches for early detection and management of AFib. The session emphasized the potential of ECG strips from devices like Samsung watches and AliveCore in clinical settings. The speakers highlighted projects involving AI and smartwatches, such as a study at Tulane University aiming to mitigate cardiovascular risks through biometric monitoring. A major highlight included a discussion on how daily ECG strips can improve patient outcomes and management by predicting AFib episodes and assessing quality of life through burden measurement.<br /><br />In a related session, Dr. Freeman discussed stroke prevention in AFib, focusing on pharmacologic and device-based interventions. He mentioned the efficacy of Direct Oral Anticoagulants (DOACs) over Warfarin and discussed the emerging Factor XI inhibitors, although early phase III trials raised efficacy concerns. Device-based strategies, particularly left atrial appendage occlusion, were reviewed with a focus on their rapid adoption and safety improvements over time, emphasizing the promising future trials that could redefine standard care practices.<br /><br />Dr. Paul Hess spoke on risk factor control for AFib by emphasizing primary prevention strategies, weight loss, exercise, and lifestyle changes like smoking and alcohol cessation. He highlighted data supporting these guidelines, underlining the potential for risk factor modification to prevent and manage AFib better.<br /><br />Lastly, Dr. Kara Pellegrini discussed the shift towards early rhythm control strategies, including the potential role of ablation as a primary treatment instead of waiting for prolonged symptom history. She advocated for personalized treatment approaches based on patient-specific factors, potentially challenging traditional timelines and definitions in AFib management. The discussion underscored balancing procedural intervention with lifestyle alteration for optimized patient outcomes.

Keywords

digital health

atrial fibrillation

smartwatches

ECG strips

AI in healthcare

stroke prevention

Direct Oral Anticoagulants

risk factor control

early rhythm control

personalized treatment