Integrated Management Program Advancing Community Treatment of Atrial Fibrillation

Improving care and outcomes for people with Atrial Fibrillation in Nova Scotia

Atrial Fibrillation (AF) is a type of irregular and sometimes rapid heartbeat. People who have AF are at an increased risk of having a stroke or heart disease.

Canadian guidelines are available to help doctors care for patients with AF, but not all patients receive the same care. Past research studies show that some doctors and patients could benefit from better knowledge and improved skills for managing AF.  We believe that IMPACT-AF can help. Learn more about AF


Primary Care Clinics


Patients with Atrial Fibrillation


Primary Care Providers

Web-based health management

In an effort to meet the needs of health professionals and persons living with atrial fibrillation (AF), leading-edge health informatics technologies have been employed to computerize the Canadian AF guidelines and best practice approaches.

The result is a Computerized Decision Support System (CDSS) – a web-based application designed to support the management of AF in the primary care setting.


A 12-month clinical trial designed to determine if the CDSS is effective in supporting the treatment and management of AF.


Primary outcomes paper

Published in AHA: 2020-06-01, Volume 224, Pages 35-46

Cluster randomized

Half of the healthcare providers (and their patients) have access to web-based tools which offer individualized patient care recommendations. The other half continue with usual care.

 Learn more

Primary outcomes

The primary outcome is a composite of unplanned cardiovascular-related hospitalizations and emergency room visits.

The primary safety outcome is bleeding.  Learn more

Secondary Outcomes

In addition to looking at AF management practices and process of care, the study will also examine the current social and economic costs of AF management on the health care system and individuals living with AF.

 Learn more

Additional Publications

Investigator Team

The IMPACT-AF Research Team is led by Dr. Jafna Cox, Heart and Stroke Foundation Endowed Chair in Cardiovascular Outcomes, Professor at Dalhousie University, and Staff Cardiologys for the Nova Scotia Health Authority.

Co-investigators specializing in AF research, Health Informatics, Biostatistics, Health Economics and Family Medicine come from NSHA as well as Dalhousie and McMaster Universities.

Dr. Jafna Cox

Primary Investigator

Dr. Raza Abidi

Technical Lead

Dr. Ratika Parkask


Dr. Lehana Thabane


Dr. Feng Xie


Dr. James MacKillop


Dr. Samina Abidi