Electrophysiology practice in low- and middle-income countries: An updated review on access to care and health delivery

Khurshid, Rabbia; Awais, Muhammad; Malik, Jahanzeb

doi:10.1016/j.hroo.2022.09.002

Cited by 6 publications

(2 citation statements)

References 91 publications

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“…This dearth of information is a prevalent issue observed in lower-middle-income countries (LMICs). [ 69 ] Consequently, there is a pressing imperative for additional epidemiological research initiatives and studies to generate further insights that can inform the development of effective management strategies for AF. In pursuit of this common objective of enhancing the quality of AF management, collaborative research programmes involving LMICs and countries with shared clinical backgrounds warrant consideration because they could foster the creation of augmented resources.…”

Section: Discussion and Expert Opinionmentioning

confidence: 99%

Selection of Non-vitamin K Antagonist Oral Anticoagulant for Stroke Prevention in Atrial Fibrillation Based on Patient Profile: Perspectives from Vietnamese Experts. Part 1

Ho,

Ton,

Nguyen

et al. 2023

Eur Cardiol

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In Asia, especially Vietnam, AF is a common arrhythmia and is linked to a higher risk of stroke and systemic embolism. Anticoagulation therapy for stroke prevention in AF patients can result in bleeding complications. To effectively manage AF, adopting appropriate anticoagulation and addressing modifiable risk factors are crucial. Vietnamese clinicians are particularly interested in non-vitamin K antagonist oral anticoagulants (NOACs), a recent development in AF treatment. However, the lack of head-to-head trials comparing NOACs makes selecting a specific NOAC challenging. This review aims to provide a comprehensive overview of the available clinical evidence on NOACs for stroke prevention in AF to assist clinicians in making informed decisions and improving treatment outcomes in patients with AF. The first part of this review will present the current landscape of AF in Vietnam, focusing on AF prevalence and highlighting gaps in clinical practice. Furthermore, this part extensively discusses the anticoagulation strategy for both primary and secondary stroke prevention in AF.

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Section: Discussion and Expert Opinionmentioning

confidence: 99%

Selection of Non-vitamin K Antagonist Oral Anticoagulant for Stroke Prevention in Atrial Fibrillation Based on Patient Profile: Perspectives from Vietnamese Experts. Part 1

Ho,

Ton,

Nguyen

et al. 2023

Eur Cardiol

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“…Its success rates surpass those of standard approaches such as AAD. However, it is a technique that is challenging to access, expensive [ 99 , 100 ], and requires advanced training [ 101 , 102 ]. Despite these challenges, in experiences at high-volume patient centers, i.e., second-generation cryoballoon ablation significantly reduces the learning curve for junior residents [ 93 , 103 ].…”

Section: Classic Therapeutic Approach For Rhythm Control In Atrial Fi...mentioning

confidence: 99%

Tic-Tac: A Translational Approach in Mechanisms Associated with Irregular Heartbeat and Sinus Rhythm Restoration in Atrial Fibrillation Patients

Parra-Lucares,

Villa,

Romero-Hernández

et al. 2023

IJMS

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Atrial fibrillation (AF) is a prevalent cardiac condition predominantly affecting older adults, characterized by irregular heartbeat rhythm. The condition often leads to significant disability and increased mortality rates. Traditionally, two therapeutic strategies have been employed for its treatment: heart rate control and rhythm control. Recent clinical studies have emphasized the critical role of early restoration of sinus rhythm in improving patient outcomes. The persistence of the irregular rhythm allows for the progression and structural remodeling of the atria, eventually leading to irreversible stages, as observed clinically when AF becomes permanent. Cardioversion to sinus rhythm alters this progression pattern through mechanisms that are still being studied. In this review, we provide an in-depth analysis of the pathophysiological mechanisms responsible for maintaining AF and how they are modified during sinus rhythm restoration using existing therapeutic strategies at different stages of clinical investigation. Moreover, we explore potential future therapeutic approaches, including the promising prospect of gene therapy.

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Risk of Cardiac Implantable Electronic Device Infection in Patients with Bloodstream Infection: Microbiologic Effect in the Era of Positron Emission Tomography–Computed Tomography

2023

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Electrophysiology practice in low- and middle-income countries: An updated review on access to care and health delivery

Cited by 6 publications

References 91 publications

Selection of Non-vitamin K Antagonist Oral Anticoagulant for Stroke Prevention in Atrial Fibrillation Based on Patient Profile: Perspectives from Vietnamese Experts. Part 1

Selection of Non-vitamin K Antagonist Oral Anticoagulant for Stroke Prevention in Atrial Fibrillation Based on Patient Profile: Perspectives from Vietnamese Experts. Part 1

Tic-Tac: A Translational Approach in Mechanisms Associated with Irregular Heartbeat and Sinus Rhythm Restoration in Atrial Fibrillation Patients

Risk of Cardiac Implantable Electronic Device Infection in Patients with Bloodstream Infection: Microbiologic Effect in the Era of Positron Emission Tomography–Computed Tomography

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