Atrial Fibrillation in Patients Hospitalized With Heart Failure: Patient Characteristics and Outcomes From the HEARTS Registry
| Autor: | Hanan Albackr, Ali Almasood, Layth Mimish, Waleed AlHabeeb, Tarek Kashour, Abdullah Ghabashi, Mushabab Al-Murayeh, Esmail Chakra, Khalid F. AlHabib, L. Almazroa, Ahmad Hersi, M. Ajlan, Raza Soomro, Ahmed Abuosa, Gamal A. Hussein, Hussam AlFaleh, Saleh AlGhamdi, Mubrouk Alsharari, Abdelfatah Elasfar, Asif Malik |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Saudi Arabia Coronary Artery Disease 030204 cardiovascular system & hematology Ventricular tachycardia Coronary artery disease 03 medical and health sciences 0302 clinical medicine Internal medicine Diabetes mellitus Atrial Fibrillation medicine Humans In patient Registries 030212 general & internal medicine Aged Heart Failure business.industry Mortality rate Atrial fibrillation Middle Aged medicine.disease Hospitalization Stroke Heart failure Ventricular fibrillation Cardiology Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Angiology. 69:151-157 |
| ISSN: | 1940-1574 0003-3197 |
| DOI: | 10.1177/0003319717711764 |
| Popis: | Effect of atrial fibrillation (AF) on short- and long-term outcomes in heart failure (HF) is controversial. Accordingly, we examined this relationship in a national multicenter project using data from the Hearts Function Assessment Registry Trial in Saudi Arabia that studied the clinical features and outcomes of patients admitted with de novo and acute on chronic HF. Out of 2593 patients with HF, 449 (17.8%) had AF at presentation. Patients with AF were more likely to be males and older (mean age 65.2 ± 15.0 vs 60.5 ± 14.8 years) to have a history of ventricular tachycardia/ventricular fibrillation (3.1% vs 1.9%) or cerebrovascular accident (15.0% vs 8.5%). However, they were less likely to have diabetes (66.0% vs 55.9%) or coronary artery disease (55.6% vs 42.3%). The 1-, 2-, and 3-year crude mortality rates were significantly higher in patients with AF (23.2% vs 18.3%, 27.4% vs 22.3%, and 27.8% vs 23.2%, respectively). However, there was no significant difference in mortality after adjusting for covariates. Thus, in patients admitted with HF, AF upon presentation was not associated with increased mortality. |
| Databáze: | OpenAIRE |
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