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Characteristics and outcomes of atrial fibrillation in patients without traditional risk factors: an RE-LY AF registry analysis
Kloosterman, Mariëlle; Oldgren, Jonas; Conen, David; Wong, Jorge A; Connolly, Stuart J; Avezum, Alvaro; Yusuf, Salim; Ezekowitz, Michael D; Wallentin, Lars; Ntep-Gweth, Marie; Joseph, Philip; Barrett, Tyler W; Tanosmsup, Supachai; McIntyre, William F; Lee, Shun Fu; Parkash, Ratika; Amit, Guy; Grinvalds, Alex; Gelder, Isabelle C Van; Healey, Jeff S.
Afiliação
  • Kloosterman, Mariëlle; University Medical Center Groningen. Groningen. hungria
  • Oldgren, Jonas; Uppsala University. Uppsala. SE
  • Conen, David; McMaster University. Ontario. CA
  • Wong, Jorge A; McMaster University. Ontario. CA
  • Connolly, Stuart J; McMaster University. Ontario. CA
  • Avezum, Alvaro; Dante Pazzanese Institute of Cardiology. São Paulo. BR
  • Yusuf, Salim; McMaster University. Ontario. CA
  • Ezekowitz, Michael D; Medical College and Lankenau Medical Center. Pensilvânia. US
  • Wallentin, Lars; Uppsala University. Uppsala. SE
  • Ntep-Gweth, Marie; Vanderbilt University Medical Center. Tennessee. US
  • Joseph, Philip; McMaster University. Ontario. CA
  • Barrett, Tyler W; Vanderbilt University Medical Center. Tennessee. US
  • Tanosmsup, Supachai; Mahidol University Nakhon. Pathom. TH
  • McIntyre, William F; McMaster University. Ontario. CA
  • Lee, Shun Fu; McMaster University. Ontario. CA
  • Parkash, Ratika; Dalhousie University. Nova Escócia. CA
  • Amit, Guy; McMaster University. Ontario. CA
  • Grinvalds, Alex; McMaster University. Ontario. CA
  • Gelder, Isabelle C Van; University Medical Center Groningen. Groningen. hungria
  • Healey, Jeff S; McMaster University. Ontario. CA
Europace ; 22(6): 870-877, June., 2020. tab., ilus.
Article em En | SES-SP, SESSP-IDPCPROD, SES-SP | ID: biblio-1123436
Biblioteca responsável: BR79.1
Localização: BR79.1
ABSTRACT
ABSTRACT Aims Data on patient characteristics, prevalence, and outcomes of atrial fibrillation (AF) patients without traditional risk factors, often labelled 'lone AF', are sparse. METHODS AND

RESULTS:

The RE-LY AF registry included 15 400 individuals who presented to emergency departments with AF in 47 countries. This analysis focused on patients without traditional risk factors, including age ≥60 years, hypertension, coronary artery disease, heart failure, left ventricular hypertrophy, congenital heart disease, pulmonary disease, valve heart disease, hyperthyroidism, and prior cardiac surgery. Patients without traditional risk factors were compared with age- and region-matched controls with traditional risk factors (13 fashion). In 796 (5%) patients, no traditional risk factors were present. However, 98% (779/796) had less-established or borderline risk factors, including borderline hypertension (130-140/80-90 mmHg; 47%), chronic kidney disease (eGFR < 60 mL/min; 57%), obesity (body mass index > 30; 19%), diabetes (5%), excessive alcohol intake (>14 units/week; 4%), and smoking (25%). Compared with patients with traditional risk factors (n = 2388), patients without traditional risk factors were more often men (74% vs. 59%, P < 0.001) had paroxysmal AF (55% vs. 37%, P < 0.001) and less AF persistence after 1 year (21% vs. 49%, P < 0.001). Furthermore, 1-year stroke occurrence rate (0.6% vs. 2.0%, P = 0.013) and heart failure hospitalizations (0.9% vs. 12.5%, P < 0.001) were lower. However, risk of AF-related re-hospitalization was similar (18% vs. 21%, P = 0.09).

CONCLUSION:

Almost all patients without traditionally defined AF risk factors have less-established or borderline risk factors. These patients have a favourable 1-year prognosis, but risk of AF-related re-hospitalization remains high. Greater emphasis should be placed on recognition and management of less-established or borderline risk factors.
Assuntos

Texto completo: 1 Coleções: 06-national / BR Base de dados: SES-SP / SESSP-IDPCPROD Assunto principal: Fibrilação Atrial / Transtorno da Personalidade Borderline Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Europace Ano de publicação: 2020 Tipo de documento: Article

Texto completo: 1 Coleções: 06-national / BR Base de dados: SES-SP / SESSP-IDPCPROD Assunto principal: Fibrilação Atrial / Transtorno da Personalidade Borderline Tipo de estudo: Etiology_studies / Prognostic_studies / Risk_factors_studies Idioma: En Revista: Europace Ano de publicação: 2020 Tipo de documento: Article