Integrated nurse-led oral anticoagulation management

Jeroen M.L. Hendriks, Anna Strömberg

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)
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The management of atrial fibrillation (AF) is a complex process because AF is not only a heart rhythm disturbance but also a vascular disease, which necessitates treatment of the arrhythmia, prevention of thromboembolic complications and treatment of the underlying cardiovascular components. Moreover, although evidence-based guidelines for AF management are available, research demonstrated poor guideline adherence in the treatment of AF, resulting in increased morbidity and mortality rates in these patients. As a consequence, current practice calls for a more comprehensive management approach. This integrated approach to care contributes to the availability of evidence-based care by redesigning daily practice while improving clinical outcomes. In this paper the fundamentals of an integrated approach to care are presented in terms of a nurse-led, guideline-based, software-supported outpatient clinic for patients with AF. Also, the effectiveness of this AF-Clinic is discussed from the viewpoint of oral anticoagulation therapy, compared with usual care.

Original languageEnglish
Pages (from-to)9-15
Number of pages7
JournalKardiovaskulare Medizin
Issue number1
Publication statusPublished - 21 Jan 2015
Externally publishedYes

Bibliographical note

"Cardiovascular Medicine" is an open access publication of EMH published in accordance with the terms of the Creative Commons licence attribution - NonCommercial - NoDerivatives 4.0 International. You are free to share, copy and redistribute the material in any medium or format under the following terms:
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  • Anticoagulation
  • Atrial fibrillation
  • Integrated care management
  • Nurse-led


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