Cognitive Function and Telemedicine-based, Village Doctor-led Care for Atrial Fibrillation
Clicks: 3
ID: 326570
2026
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This
article has not been analysed, so there is no overall score —
reader engagement is measured and shown alongside.
Reader Engagement
Emerging Content
0.6
/100
3 views
2 readers
AI Quality Assessment
Not analyzed
Readership in this journal
EmergingRanked #83 of 88 articles by views in EP Europace
Most read
Least read
Bar heights use a square-root scale.
Mint this article as an NFT
Not yet mintedCreate a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.
5
SUSD
one-off · no wallet required
Abstract
BACKGROUND AND AIMS: Cognitive impairment is common among older patients with atrial fibrillation (AF). We aimed to evaluate whether baseline cognitive function modifies the effectiveness of a telemedicine-based, village doctor-led integrated care in older patients with AF. METHODS: This was a post hoc subgroup analysis of the MIRACLE-AF cluster-randomized trial conducted across 30 village clinics in China from December 2020 to May 2024. Rural participants aged ≥65 years with AF received telemedicine-based, village doctor-led integrated AF care or usual care. Participants were categorized by baseline Mini-Mental State Examination (MMSE) score into severe cognitive impairment (MMSE <18), mild-to-moderate cognitive impairment (MMSE 18-23), and preserved cognition (MMSE ≥24). The primary outcome was a composite of cardiovascular death, all stroke, hospitalization for worsening heart failure or acute coronary syndrome, and emergency visits for AF. RESULTS: Among 1,039 participants enrolled in the MIRACLE-AF trial (mean [SD] age, 75.8 [5.7] years; 460 women [44.3%]), 1,028 (98.9%) had baseline MMSE assessed (388 with MMSE <18, 305 with MMSE 18-23, and 335 with MMSE ≥24). Compared with control, the intervention reduced the risk of the primary outcome among patients with MMSE 18-23 (adjusted hazard ratio [HR], 0.56; 95% CI, 0.34-0.92), MMSE ≥24 (adjusted HR, 0.55; 95% CI, 0.32-0.93), and MMSE <18 (adjusted HR, 0.86; 95% CI, 0.54-1.35). P for interaction was 0.336. CONCLUSION: A telemedicine-based, village doctor-led integrated care model was associated with favorable outcomes across baseline cognitive strata, warranting further evaluation among cognitively vulnerable adults with AF in rural settings. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov (identifier NCT04622514).
Abstract Quality Issue:
This abstract appears to be incomplete or contains metadata (91 words).
Try re-searching for a better abstract.
| Reference Key |
openalex_W7204530642
Use this key to autocite in the manuscript while using
SciMatic Manuscript Manager or Thesis Manager
|
|---|---|
| Authors | Mingfang Li, Yang Chen, Shimeng Zhang, Ming Chu, Shu Yang, Youmei Shen, Gregory Y.H. Lip, Minglong Chen |
| Journal | EP Europace |
| Year | 2026 |
| DOI |
10.1093/europace/euag233
|
| URL | |
| Keywords | Keywords not found |
Citations
No citations found. To add a citation, contact the admin at info@scimatic.org
Comments
No comments yet. Be the first to comment on this article.