I am
heartfoundation.org.au|Helpline 13 11 12

Specialized AF-Clinics for patients with Atrial Fibrillation: iCARE-AF Clinics

Professor Jeroen Hendriks, Institution: Flinders University

2018 Future Leader Fellowship

Years funded: 2019-2022


Atrial fibrillation (AF) is a prevalent cardiac arrhythmia with an estimated 33.5 million patients globally in 2010, and evidence suggests that these figures continue rising, whereby 25% of adults >40 years will be diagnosed with AF in their life. AF poses a substantial burden to the health care system; it is the most common cardiovascular cause of hospitalisation in Australia (~61,000), with an annual cost of $5,200 per person. AF management, including cardiovascular (CV) risk factors, has been sub-optimal and not according to evidence-based guidelines.

Integrated care management is recommended in Guidelines as the optimal approach to manage AF and consequently redesign daily practice. Recent data demonstrates the importance of comprehensive specialised AF clinics and intensive management of cardiovascular risk factors with beneficial effects on AF symptom burden, hospitalization and mortality, and costs.

In the proposed trial, structured AF management including intensive risk factor management will be combined in to a specialised, multidisciplinary iCARE-AF Clinic. This clinic fuses significant care components as well as specialists and patients to ensure necessary collaboration and actively involves patients in the care process, following a patient-centred approach.

 It is hypothesised that this iCARE AF Clinic will reduce all-cause hospitalization and mortality in patients with AF (primary endpoint).

To test this hypothesis, the iCARE clinic will be compared with standard care in a prospective, multi-centre, randomised controlled trial, involving 4 teaching centres in Australia and 2 in New-Zealand. Follow-up will be 24 months. Expected outcome: reduction of AF symptoms and improved quality of life; improved AF management including related cardiovascular diseases; reduction in mortality, hospitalisation, and health care costs; policy change. This study represents an important step in Transforming Healthcare by translating evidence in the Australian context.

You might also be interested in

Research Directory

Research Directory

Altering the rehabilitation environment to improve stroke survivor activity (AREISSA)

Altering the rehabilitation environment to improve stroke survivor activity (AREISSA)

Assistant Professor Neil Spratt, Institution: The University of Newcastle...

Constructing Aboriginal health: a review of cardiovascular research, 1933-2014

Constructing Aboriginal health: a review of cardiovascular research, 1933-2014

Ms Joanne Luke, Institution: University of Melbourne...

Exercise and brain volume loss after stroke

Exercise and brain volume loss after stroke

Professor Amy Brodtmann, Institution: Florey Institute of Neuroscience and Mental Health...

Lipid disorders in patients at high cardiovascular disease risk

Lipid disorders in patients at high cardiovascular disease risk

Dr Esther Ooi, Institution: University of Western Australia...

Optimizing stroke therapy - advanced brain imaging and rapid restoration of blood flow to the brain

Optimizing stroke therapy - advanced brain imaging and rapid restoration of blood flow to the brain

Professor Bruce Campbell, Institution: University of Melbourne...

Promoting active, healthy lifestyles among women at key life stages

Promoting active, healthy lifestyles among women at key life stages

Associate Professor Verity Cleland, Institution: University of Tasmania...

Reducing population salt consumption in Victoria

Reducing population salt consumption in Victoria

Reducing population salt consumption in Victoria

Professor Bruce Neal, Institution: University of New South Wales...

Starting early – Increasing young children’s physical activity

Starting early – Increasing young children’s physical activity

Associate Professor Hayley Christian, Institution: University of Western Australia...

Strategies to optimise cardio-metabolic health

Strategies to optimise cardio-metabolic health

Associate Professor Melinda Carrington, Institution: Baker Heart and Diabetes Institute...

MyMarathon

MyMarathon

MyMarathon

The fundraising race where you set the pace. Run, jog or walk MyMarathon at your own pace during October....

Research Directory

Research Directory

Tenecteplase versus alteplase for stroke thrombolysis evaluation trial

Tenecteplase versus alteplase for stroke thrombolysis evaluation trial

Professor Mark Parsons, Institution: University of Melbourne...

Heart Health Check Toolkit

Heart Health Check Toolkit

Keeping a close watch on brain and kidney health during heart surgery.

Keeping a close watch on brain and kidney health during heart surgery.

Keeping a close watch on brain and kidney health during heart surgery.

What is plant-based eating

What is plant-based eating

What is plant-based eating

Learn about plant-based eating and its impact on heart health ...

Breakfast bean and mushroom pizza

Breakfast bean and mushroom pizza

Breakfast bean and mushroom pizza

20 minutes
Serves 2

Staying active for better heart health

Staying active for better heart health

Staying active for better heart health

Moving more every day is one of the best habits you can have....

Supporting Young Hearts Program

Supporting Young Hearts Program

Information and resources for health professionals who are treating patients between 18 - 40 years of age....

For professionals: Heart failure tools and resources

For professionals: Heart failure tools and resources

Resources for healthcare professionals on the management of patients with heart failure ...

Heart medicines – Frequently asked questions

Heart medicines – Frequently asked questions

Heart medicines – Frequently asked questions

Find answers below to frequently asked questions about heart medicines. ...

Being a carer for a heart attack patient

Being a carer for a heart attack patient

Being a carer for a heart attack patient

Your role as a carer for a heart attack patient is an important one – explore some useful things to know....

GLOBAL CARDIOVASCULAR RESEARCH FUNDERS FORUM

GLOBAL CARDIOVASCULAR RESEARCH FUNDERS FORUM

GLOBAL CARDIOVASCULAR RESEARCH FUNDERS FORUM

FACILITATING INTERNATIONAL CLINICAL TRIALS ...

Women and heart disease

Women and heart disease

Women and heart disease

Information and resources for health professionals....

Blood cholesterol

Blood cholesterol

Blood cholesterol

Keeping your blood cholesterol at a healthy level can help you reduce your risk of heart disease and other serious conditions. ...

Romesco Sauce

Romesco Sauce

Romesco Sauce

Serves Makes 350g | (Serves 8 – about 2 tablespoons - 44g)

Key healthy eating messages for heart attack recovery 

Key healthy eating messages for heart attack recovery 

Key healthy eating messages for heart attack recovery 

Eating healthy foods can help you recover and reduce your risk of more heart problems. ...

Exercise boosts artery health in middle-aged and older men, not testosterone therapy

Exercise boosts artery health in middle-aged and older men, not testosterone therapy

Exercise boosts artery health in middle-aged and older men, not testosterone therapy

Media Release - 22 February 2021...

What is angina?

What is angina?

What is angina?

Angina is a type of chest pain or discomfort that’s a symptom of an underlying heart problem, usually coronary heart disease (CHD)....

Q&A with A/Prof Lisa Moran

Q&A with A/Prof Lisa Moran

Q&A with A/Prof Lisa Moran

Improving screening and management of women with cardiometabolic conditions during pregnancy...

Blueberry cheesecake oats

Blueberry cheesecake oats

Blueberry cheesecake oats

10 minutes
Serves 2

Create your fundraiser at Do it for Heart

Create your fundraiser at Do it for Heart

Create your fundraiser at Do it for Heart

Become a Heart Foundation fundraiser, do it for heart and make a real difference to your community....

Vegetarian recipes

Vegetarian recipes

Vegetarian recipes

Search through our vegetarian recipes...

test page

test page

test page

test page...

Kids recipes

Kids recipes

Kids recipes

Find heart healthy kids recipes...

Maryanne was shocked to find she had a hidden heart problem

Maryanne was shocked to find she had a hidden heart problem

Maryanne was shocked to find she had a hidden heart problem

At first, it didn’t cross my mind it could be something serious. ...

Supporting Your Emotional Wellbeing: An Online Forum for Young Heart Patients

Supporting Your Emotional Wellbeing: An Online Forum for Young Heart Patients

Supporting Your Emotional Wellbeing: An Online Forum for Young Heart Patients

Finding her voice: Sophie Nester’s heart story

Finding her voice: Sophie Nester’s heart story

Sophie Nester was born with a heart condition and a form of spina bifida. She had three open heart surgeries before she turned five. Now 26, Sophie is a disability support worker in Bendigo, Victoria....

For professionals: Online education and training

For professionals: Online education and training

Online courses for health professionals focused on improving cardiovascular care. ...

COVID-19 info & FAQs

COVID-19 info & FAQs

COVID-19 info & FAQs

Information and FAQs about COVID-19 and heart disease....