Prognosis, disease progression, and treatment of atrial fibrillation patients during 1 year: Follow-up of the Euro Heart Survey on Atrial Fibrillation

Salvatore Novo, Javier Santolaya Rubio, Alessandro Desideri, Dario Giuseppe Mantovani, David Rossi, Franco Lombardi, Giuseppe Coppola, Josè Angel Brandariz Garcia, Maurizio Meloni, Vito Bruno Martinez

Risultato della ricerca: Articlepeer review

208 Citazioni (Scopus)

Abstract

Aims: To gain insight in the prognosis and treatment of atrial fibrillation (AF) patients during 1-year follow-up in the Euro Heart Survey (EHS) on AF. Methods and results: The EHS enrolled 5333 AF patients in 2003-2004. One-year follow-up data were available for 80%. Of first detected AF patients, 46% did not have a recurrence during 1 year, paroxysmal AF largely remained paroxysmal AF (80%), and 30% of persistent AF progressed to permanent AF. Many treatment changes occurred since baseline. Oral anticoagulation was started in 19% and discontinued in 16% of all patients. Of patients initially on rhythm control 27% did not receive rhythm control during follow-up, whereas 15% of patients initially on rate control received rhythm control. Mortality was highest in permanent AF (8.2%), but also substantial in first detected AF (5.7%). In multivariable analysis, sinus rhythm at baseline was associated with lower mortality, but no significant effect was observed regarding the application of either rhythm or rate control. Conclusion: The EHS on AF provides unique prospective observational data on AF progression, long-term treatment, prognosis, and determinants of adverse outcome of the total clinical spectrum of AF in a European cardiology-based patient cohort. © The Author 2008.
Lingua originaleEnglish
pagine (da-a)1181-1189
Numero di pagine9
RivistaEuropean Heart Journal
Volume29
Stato di pubblicazionePublished - 2008

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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