Epidemiology and Management of Atrial Fibrillation and Stroke: Review of Data from Four European Countries

In Europe, 1–3% of the population suffers from atrial fibrillation (AF) and has increased stroke risk. By 2060 a doubling in number of cases and great burden in managing this medical condition are expected. This paper offers an overview of data on epidemiology and management of AF and stroke in four...

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Main Authors: Andreea D. Ceornodolea, Roland Bal, Johan L. Severens
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Stroke Research and Treatment
Online Access:http://dx.doi.org/10.1155/2017/8593207
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author Andreea D. Ceornodolea
Roland Bal
Johan L. Severens
author_facet Andreea D. Ceornodolea
Roland Bal
Johan L. Severens
author_sort Andreea D. Ceornodolea
collection DOAJ
description In Europe, 1–3% of the population suffers from atrial fibrillation (AF) and has increased stroke risk. By 2060 a doubling in number of cases and great burden in managing this medical condition are expected. This paper offers an overview of data on epidemiology and management of AF and stroke in four European countries as well as the interconnection between these dimensions. A search index was developed to access multiple scientific and “grey” literatures. Information was prioritised based on strength of evidence and date. Information on country reports was double-checked with national experts. The overall prevalence of AF is consistent across countries. France has the lowest stroke incidence and mortality, followed by Netherland and UK, while Romania has higher rates. GPs or medical specialists are responsible for AF treatment; exception are the special thrombosis services in the Netherlands. Prevention measurements are only present in UK through screening programs. Although international and national guidelines are available, undertreatment is present in all countries. Despite differences in healthcare systems and management of AF, epidemiology is comparable between three of the countries. Romania is an outlier, by being limited in data accessibility. This knowledge can contribute to improved AF care in Europe.
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spelling doaj-art-d1aa925ae3774e339f28250e8e3441e82025-02-03T01:21:28ZengWileyStroke Research and Treatment2090-81052042-00562017-01-01201710.1155/2017/85932078593207Epidemiology and Management of Atrial Fibrillation and Stroke: Review of Data from Four European CountriesAndreea D. Ceornodolea0Roland Bal1Johan L. Severens2eMbrace Institute, Amsterdam, NetherlandsInstitute of Health Policy & Management, Erasmus University Rotterdam, Postbus 1738, 3000 DR Rotterdam, NetherlandsInstitute of Health Policy & Management, Erasmus University Rotterdam, Postbus 1738, 3000 DR Rotterdam, NetherlandsIn Europe, 1–3% of the population suffers from atrial fibrillation (AF) and has increased stroke risk. By 2060 a doubling in number of cases and great burden in managing this medical condition are expected. This paper offers an overview of data on epidemiology and management of AF and stroke in four European countries as well as the interconnection between these dimensions. A search index was developed to access multiple scientific and “grey” literatures. Information was prioritised based on strength of evidence and date. Information on country reports was double-checked with national experts. The overall prevalence of AF is consistent across countries. France has the lowest stroke incidence and mortality, followed by Netherland and UK, while Romania has higher rates. GPs or medical specialists are responsible for AF treatment; exception are the special thrombosis services in the Netherlands. Prevention measurements are only present in UK through screening programs. Although international and national guidelines are available, undertreatment is present in all countries. Despite differences in healthcare systems and management of AF, epidemiology is comparable between three of the countries. Romania is an outlier, by being limited in data accessibility. This knowledge can contribute to improved AF care in Europe.http://dx.doi.org/10.1155/2017/8593207
spellingShingle Andreea D. Ceornodolea
Roland Bal
Johan L. Severens
Epidemiology and Management of Atrial Fibrillation and Stroke: Review of Data from Four European Countries
Stroke Research and Treatment
title Epidemiology and Management of Atrial Fibrillation and Stroke: Review of Data from Four European Countries
title_full Epidemiology and Management of Atrial Fibrillation and Stroke: Review of Data from Four European Countries
title_fullStr Epidemiology and Management of Atrial Fibrillation and Stroke: Review of Data from Four European Countries
title_full_unstemmed Epidemiology and Management of Atrial Fibrillation and Stroke: Review of Data from Four European Countries
title_short Epidemiology and Management of Atrial Fibrillation and Stroke: Review of Data from Four European Countries
title_sort epidemiology and management of atrial fibrillation and stroke review of data from four european countries
url http://dx.doi.org/10.1155/2017/8593207
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AT johanlseverens epidemiologyandmanagementofatrialfibrillationandstrokereviewofdatafromfoureuropeancountries