5 Each strategy has a unique risk-benefit profile that needs to be considered prior to therapy selection. 3, 4 Oral anticoagulation (OAC) effectively reduces the risk of stroke and improves survival in patients with AF, and rhythm control strategies (including cardioversion, antiarrhythmic drugs, or ablation) may improve symptoms and quality of life. 2 The most important and catastrophic sequela of AF is thromboembolic stroke, which can lead to significant disability or death. 1 Atrial fibrillation is associated with increased risk of heart failure, cognitive impairment, and reduced quality of life. Ītrial fibrillation (AF) is the most common sustained cardiac arrhythmia, affecting more than 33 million individuals globally. After adjustment, patients with self-reported understanding of OAC, and rhythm control options, had higher odds of having participated in SDM. The most important factors cited by patients during decision-making for OAC were reducing stroke and bleeding risk, and their HCP’s recommendations. 38.4%), while patients reporting SDM for rhythm control were more often male (62.2% vs. Compared with those reporting no SDM, patients reporting SDM for OAC were more often female (47.2% vs. Approximately half of patients reported that their OAC treatment decisions were made entirely by their HCP. Shared decision-making was classified as one that the patient felt was an autonomous decision or a shared decision with their healthcare provider (HCP). Patients were asked about who made their AF treatment decisions. Patients completed surveys at enrolment and at 6-month follow-up. We evaluated survey data from 1006 patients with new-onset AF enrolled at 56 US sites participating in the SATELLITE substudy of the Outcomes Registry for Better Informed Treatment of Atrial Fibrillation (ORBIT II).
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