ISSN 2149-2263 | E-ISSN 2149-2271
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Understanding the Burden of Atrial Fibrillation and Importance of Screening: A Global Perspective and Recommendations for Turkey [Anatol J Cardiol]
Anatol J Cardiol. 2022; 26(9): 673-684 | DOI: 10.5152/AnatolJCardiol.2022.1689

Understanding the Burden of Atrial Fibrillation and Importance of Screening: A Global Perspective and Recommendations for Turkey

Dursun Aras1, Erdem Birgül2, Bülent Görenek3, Erdem Gürkaş4, Atilla Özcan Özdemir5, Mehmet Akif Topçuoğlu6, Erdinç Yavuz7, Mehdi Zoghi8
1Department of Cardiology, University of Health Sciences, Ankara City Hospital, Ankara, Turkey
2Turkish Association of Family Physicians, İstanbul, Turkey
3Department of Cardiology, Faculty of Medicine, Eskişehir Osmangazi University Hospital, Eskişehir, Turkey
4Department of Neurology, İstanbul Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, Turkey
5Department of Neurology, Faculty of Medicine, Eskişehir Osmangazi University Hospital, Eskişehir, Turkey
6Department of Neurology, Faculty of Medicine, Hacettepe University Hospital, Ankara, Turkey
7Department of Family Medicine, Samsun Training and Research Hospital, Samsun, Turkey
8Department of Cardiology, Faculty of Medicine, Ege University Hospital, İzmir, Turkey

Considering the aging population, the increase in predisposing factors, and the improvement in healthcare with increased survival rates, atrial fibrillation has been the most common cardiac arrhythmia in adults with a rise in the estimated lifetime risk over recent years. While aging is a powerful risk factor for atrial fibrillation, the leading prevalent comorbidities are hypertension, heart failure, obesity, obstructive sleep apnea, diabetes mellitus, and chronic kidney disease. Atrial fibrillation is associated with substantial morbidity, impaired quality of life, and increased mortality and healthcare costs. As a significant proportion of the total atrial fibrillation population is asymptomatic or mildly symptomatic, early identification and initiation of appropriate treatment for atrial fibrillation may prevent potentially detrimental outcomes such as stroke and heart failure and decrease all-cause mortality. Although screening via evolving health technologies has recently been emerging, verification of the electrocardiogram track recording over at least 30 seconds by a physician with expertise is still required for a definite diagnosis. Based on the global and national data and the current healthcare environment in Turkey, this targeted review with cardiology, neurology, and family physicians’ perspectives highlights the importance of early detection by implementing the advancing screening modalities as well as the need for raised awareness of both patients and healthcare professionals and establishment of a multidisciplinary clinical approach for a better outcome in atrial fibrillation management.

Keywords: Atrial fibrillation, burden of disease, stroke, screening, morbidity, mortality

Dursun Aras, Erdem Birgül, Bülent Görenek, Erdem Gürkaş, Atilla Özcan Özdemir, Mehmet Akif Topçuoğlu, Erdinç Yavuz, Mehdi Zoghi. Understanding the Burden of Atrial Fibrillation and Importance of Screening: A Global Perspective and Recommendations for Turkey. Anatol J Cardiol. 2022; 26(9): 673-684

Corresponding Author: Dursun Aras, Türkiye
Manuscript Language: English


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