How Are You Feeling Today? Patient-Reported Outcomes and AFib - 2025 Quality Summit Presentation (Non-CE)-How Are You Feeling Today? Patient-Reported Outcomes and AFib

Video Transcription

Video Summary

This session, led by Dr. Krishna Pundi and Dr. Greg Marcus, focused on quality of life and patient-reported outcomes (PROs) in atrial fibrillation (AFib), emphasizing symptom burden and treatment effects. AFib symptoms are varied and subjective, including palpitations, fatigue, and shortness of breath, impacting patient quality of life (QoL). PROs are crucial for assessing symptom changes and guiding care, though they don’t perfectly predict outcomes like hospitalization or mortality. Catheter ablation improves symptoms and QoL more than medication alone, supported by clinical studies. The session also covered the AFib Ablation Registry's data collection on symptoms pre- and post-ablation, including tracking symptom improvement.<br /><br />Dr. Marcus introduced Vibrant AF, a smartphone app-based study designed to gather longitudinal patient-reported data, lifestyle factors, and health metrics like heart rate and physical activity using connected devices. This digital tool enhances follow-up, especially for patients receiving care across multiple centers, and reduces reliance on resource-intensive clinical interviews. Patients complete brief weekly or monthly surveys for a year, reporting symptoms, lifestyle, and complications. The platform supports multiple languages and passive hospitalization detection via geolocation.<br /><br />Vibrant AF facilitates quality assurance and research by linking real-time patient data with registries, promoting improved care and research collaboration. Questions addressed patient recruitment, symptom measurement, and lifestyle factors like caffeine, e-cigarettes, and cannabis use. The session highlighted challenges in symptom attribution due to comorbidities and the need for ongoing innovation to optimize AFib management and patient engagement.

Keywords

intravascular imaging

percutaneous coronary intervention

PCI

IVUS

OCT

cardiovascular care

coronary CT angiography

CTFFR

interventional cardiology

atrial fibrillation

patient-reported outcomes

quality of life

symptom burden

catheter ablation

Vibrant AF app

digital health monitoring

AFib Ablation Registry

lifestyle factors