Rush KL, et al. - Researches used a mixed methods design to analyze data from 101 atrial fibrillation (AF) patients and 15 physicians from 3 rural communities participated in focus groups and/or surveys in an effort to determine patient and primary care physician views of rural AF care and virtually delivered AF care as a potential option. Eclectic obstacles in managing AF were defined by patients and physicians. The most salient problems patients faced were associated with fatigue, exercise intolerance, weight maintenance, sleep apnea, and worry regarding stroke, and bleeding, and they felt ill-informed regarding AF management. According to physicians, problems arose when managing patients with comorbidities and cognitive decline, and it was a challenge to balance the risks associated with anticoagulation. A pressing requirement, as stated by patients and physicians, is education, which remained unmet due to lack of time and resources on physicians' end. The study findings are indicative of the potential utility of virtual care designed to reach patients with AF across the spectrum, and geared to local contexts that maintain the important role of primary care physicians in AF care in their communities.