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Characteristics and Treatment of Atrial Fibrillation with Respect to the Presence or Absence of Heart Failure. Insights from the Multicenter Polish Atrial Fibrillation (POL-AF) Registry
Background: We aimed to assess characteristics and treatment of AF patients with and without heart failure (HF). Methods: The prospective, observational Polish Atrial Fibrillation (POL-AF) Registry included consecutive patients with AF hospitalized in 10 Polish cardiology centers in 2019–2020. Resul...
Autores principales: | , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8036873/ https://www.ncbi.nlm.nih.gov/pubmed/33804992 http://dx.doi.org/10.3390/jcm10071341 |
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author | Gawałko, Monika Budnik, Monika Gorczyca, Iwona Jelonek, Olga Uziębło-Życzkowska, Beata Maciorowska, Małgorzata Wójcik, Maciej Błaszczyk, Robert Tokarek, Tomasz Rajtar-Salwa, Renata Bil, Jacek Wojewódzki, Michał Szpotowicz, Anna Krzciuk, Małgorzata Bednarski, Janusz Bakuła-Ostalska, Elwira Tomaszuk-Kazberuk, Anna Szyszkowska, Anna Wełnicki, Marcin Mamcarz, Artur Kapłon-Cieślicka, Agnieszka |
author_facet | Gawałko, Monika Budnik, Monika Gorczyca, Iwona Jelonek, Olga Uziębło-Życzkowska, Beata Maciorowska, Małgorzata Wójcik, Maciej Błaszczyk, Robert Tokarek, Tomasz Rajtar-Salwa, Renata Bil, Jacek Wojewódzki, Michał Szpotowicz, Anna Krzciuk, Małgorzata Bednarski, Janusz Bakuła-Ostalska, Elwira Tomaszuk-Kazberuk, Anna Szyszkowska, Anna Wełnicki, Marcin Mamcarz, Artur Kapłon-Cieślicka, Agnieszka |
author_sort | Gawałko, Monika |
collection | PubMed |
description | Background: We aimed to assess characteristics and treatment of AF patients with and without heart failure (HF). Methods: The prospective, observational Polish Atrial Fibrillation (POL-AF) Registry included consecutive patients with AF hospitalized in 10 Polish cardiology centers in 2019–2020. Results: Among 3999 AF patients, 2822 (71%) had HF (AF/HF group). Half of AF/HF patients had preserved ejection fraction (HFpEF). Compared to patients without HF (AF/non–HF), AF/HF patients were older, more often male, more often had permanent AF, and had more comorbidities. Of AF/HF patients, 98% had class I indications to oral anticoagulation (OAC). Still, 16% of patients were not treated with OAC at hospital admission, and 9%—at discharge (regardless of the presence of HF and its subtypes). Of patients not receiving OAC upon admission, 61% were prescribed OAC (most often apixaban) at discharge. AF/non–HF patients more often converted from AF at admission to sinus rhythm at discharge compared to AF/HF patients (55% vs. 30%), despite cardioversion performed as often in both groups. Class I antiarrhythmics were more often prescribed in AF/non–HF than in AF/HF group (13% vs. 8%), but still as many as 15% of HFpEF patients received them. Conclusions: Over 70% of hospitalized AF patients have coexisting HF. A significant number of AF patients does not receive the recommended OAC. |
format | Online Article Text |
id | pubmed-8036873 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-80368732021-04-12 Characteristics and Treatment of Atrial Fibrillation with Respect to the Presence or Absence of Heart Failure. Insights from the Multicenter Polish Atrial Fibrillation (POL-AF) Registry Gawałko, Monika Budnik, Monika Gorczyca, Iwona Jelonek, Olga Uziębło-Życzkowska, Beata Maciorowska, Małgorzata Wójcik, Maciej Błaszczyk, Robert Tokarek, Tomasz Rajtar-Salwa, Renata Bil, Jacek Wojewódzki, Michał Szpotowicz, Anna Krzciuk, Małgorzata Bednarski, Janusz Bakuła-Ostalska, Elwira Tomaszuk-Kazberuk, Anna Szyszkowska, Anna Wełnicki, Marcin Mamcarz, Artur Kapłon-Cieślicka, Agnieszka J Clin Med Article Background: We aimed to assess characteristics and treatment of AF patients with and without heart failure (HF). Methods: The prospective, observational Polish Atrial Fibrillation (POL-AF) Registry included consecutive patients with AF hospitalized in 10 Polish cardiology centers in 2019–2020. Results: Among 3999 AF patients, 2822 (71%) had HF (AF/HF group). Half of AF/HF patients had preserved ejection fraction (HFpEF). Compared to patients without HF (AF/non–HF), AF/HF patients were older, more often male, more often had permanent AF, and had more comorbidities. Of AF/HF patients, 98% had class I indications to oral anticoagulation (OAC). Still, 16% of patients were not treated with OAC at hospital admission, and 9%—at discharge (regardless of the presence of HF and its subtypes). Of patients not receiving OAC upon admission, 61% were prescribed OAC (most often apixaban) at discharge. AF/non–HF patients more often converted from AF at admission to sinus rhythm at discharge compared to AF/HF patients (55% vs. 30%), despite cardioversion performed as often in both groups. Class I antiarrhythmics were more often prescribed in AF/non–HF than in AF/HF group (13% vs. 8%), but still as many as 15% of HFpEF patients received them. Conclusions: Over 70% of hospitalized AF patients have coexisting HF. A significant number of AF patients does not receive the recommended OAC. MDPI 2021-03-24 /pmc/articles/PMC8036873/ /pubmed/33804992 http://dx.doi.org/10.3390/jcm10071341 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ). |
spellingShingle | Article Gawałko, Monika Budnik, Monika Gorczyca, Iwona Jelonek, Olga Uziębło-Życzkowska, Beata Maciorowska, Małgorzata Wójcik, Maciej Błaszczyk, Robert Tokarek, Tomasz Rajtar-Salwa, Renata Bil, Jacek Wojewódzki, Michał Szpotowicz, Anna Krzciuk, Małgorzata Bednarski, Janusz Bakuła-Ostalska, Elwira Tomaszuk-Kazberuk, Anna Szyszkowska, Anna Wełnicki, Marcin Mamcarz, Artur Kapłon-Cieślicka, Agnieszka Characteristics and Treatment of Atrial Fibrillation with Respect to the Presence or Absence of Heart Failure. Insights from the Multicenter Polish Atrial Fibrillation (POL-AF) Registry |
title | Characteristics and Treatment of Atrial Fibrillation with Respect to the Presence or Absence of Heart Failure. Insights from the Multicenter Polish Atrial Fibrillation (POL-AF) Registry |
title_full | Characteristics and Treatment of Atrial Fibrillation with Respect to the Presence or Absence of Heart Failure. Insights from the Multicenter Polish Atrial Fibrillation (POL-AF) Registry |
title_fullStr | Characteristics and Treatment of Atrial Fibrillation with Respect to the Presence or Absence of Heart Failure. Insights from the Multicenter Polish Atrial Fibrillation (POL-AF) Registry |
title_full_unstemmed | Characteristics and Treatment of Atrial Fibrillation with Respect to the Presence or Absence of Heart Failure. Insights from the Multicenter Polish Atrial Fibrillation (POL-AF) Registry |
title_short | Characteristics and Treatment of Atrial Fibrillation with Respect to the Presence or Absence of Heart Failure. Insights from the Multicenter Polish Atrial Fibrillation (POL-AF) Registry |
title_sort | characteristics and treatment of atrial fibrillation with respect to the presence or absence of heart failure. insights from the multicenter polish atrial fibrillation (pol-af) registry |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8036873/ https://www.ncbi.nlm.nih.gov/pubmed/33804992 http://dx.doi.org/10.3390/jcm10071341 |
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