Nurse-led Management of Atrial Fibrillation in Patients With Implanted Cardiac Devices

<h2>Abstract</h2> This report describes the management of atrial fibrillation (AFib) events diagnosed through cardiac implanted electronic devices in an advanced nurse practitioner-led clinic. AFib events necessitating medical evaluation were managed with a standardized decision tree and recorded for 1 year. Among 1980 follow-up assessments, 6% experienced AFib events (n = 119), mostly because of de novo AFib (58%), rapid ventricular rate (22%), and symptomatic AFib (20%). Only 11% were referred to the emergency department, and 83% were assessed by the general practitioner in the same month. Advanced nurse practitioners offer prompt AFib event management in patients with cardiac implanted electronic devices, supported by a structured care pathway ensuring timely medical assessment and treatment.