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Thromb Haemost 2025; 125(12): 1173-1180
DOI: 10.1055/a-2595-5575
Invited Clinical Focus

Patient Care Pathways and Risk Assessments in Patients with Atrial Fibrillation: A Comparison of Asian versus Non-Asian Cohorts

Authors

  • Hao-Chih Chang

    1   Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
    2   Institute of Clinical Medicine, and Cardiovascular Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan

  • Yi-Hsin Chan

    3   The Cardiovascular Department, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan
    4   College of Medicine, Chang Gung University, Taoyuan, Taiwan
    5   Microscopy Core Laboratory, Chang Gung Memorial Hospital, Linkou, Taoyuan, Taiwan

  • Ling Kuo

    1   Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
    2   Institute of Clinical Medicine, and Cardiovascular Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan

  • Tze-Fan Chao

    1   Division of Cardiology, Department of Medicine, Taipei Veterans General Hospital, Taipei, Taiwan
    2   Institute of Clinical Medicine, and Cardiovascular Research Center, National Yang Ming Chiao Tung University, Taipei, Taiwan
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Abstract

Patient care pathways provide an integrated care approach to atrial fibrillation (AF) management. International guidelines propose various patient care pathways, each emphasizing different strategies for assessing stroke and bleeding risk. Due to different ethnicities and susceptibility to stroke or bleeding risk, caution should be taken during application of Western cohorts-derived patient care pathways to Asian cohorts. Evidence-based rather than eminence-based strategies should be adopted for AF patient care. In this clinical focus, we summarize and compare patient care pathways, using evidence on the implementation in real-world registries, and strategies for assessing stroke and bleeding risk across Asian and non-Asian guidelines.

Keywords

atrial fibrillation - patient care pathway - stroke prevention - bleeding risk score - Asian - non-Asian guidelines


Publication History

Received: 23 January 2025

Accepted: 27 April 2025

Article published online:
20 May 2025

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