An International Observational Prospective Survey Assessing the Control of Atrial Fibrillation in Asia-Pacific: Results of the Record-AFAP Registry
A prospective 1-year observational survey was designed to assess the management and control of atrial fibrillation (AF) in eight countries within the Asia-Pacific region. Patients (N = 2,604) with recently diagnosed AF or a history of AF ≤1 year were included. Clinicians chose the treatment strategy...
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| Veröffentlicht in: | Clinical Medicine Insights. Cardiology Jg. 2015; H. 9; S. 77 - 83 |
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| Sprache: | Englisch |
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01.01.2015
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| Abstract | A prospective 1-year observational survey was designed to assess the management and control of atrial fibrillation (AF) in eight countries within the Asia-Pacific region. Patients (N = 2,604) with recently diagnosed AF or a history of AF ≤1 year were included. Clinicians chose the treatment strategy (rhythm or rate control) according to their standard practice and medical discretion. The primary endpoint was therapeutic success. At baseline, rhythm- and rate-control strategies were applied to 35.7% and 64.3% of patients, respectively. At 12 months, therapeutic success was 43.2% overall. Being assigned to rhythm-control strategy at baseline was associated with a higher therapeutic success (46.5% vs 41.4%; P = 0.0214) and a lower incidence of clinical outcomes (10.4% vs 17.1% P < 0.0001). Patients assigned to rate-control strategies at baseline had higher cardiovascular morbidities (history of heart failure or valvular heart disease). Cardiovascular outcomes may be less dependent on the choice of treatment strategy than cardiovascular comorbidities. |
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| AbstractList | A prospective 1-year observational survey was designed to assess the management and control of atrial fibrillation (AF) in eight countries within the Asia-Pacific region. Patients (N = 2,604) with recently diagnosed AF or a history of AF ≤1 year were included. Clinicians chose the treatment strategy (rhythm or rate control) according to their standard practice and medical discretion. The primary endpoint was therapeutic success. At baseline, rhythm- and rate-control strategies were applied to 35.7% and 64.3% of patients, respectively. At 12 months, therapeutic success was 43.2% overall. Being assigned to rhythm-control strategy at baseline was associated with a higher therapeutic success (46.5% vs 41.4%; P = 0.0214) and a lower incidence of clinical outcomes (10.4% vs 17.1% P < 0.0001). Patients assigned to rate-control strategies at baseline had higher cardiovascular morbidities (history of heart failure or valvular heart disease). Cardiovascular outcomes may be less dependent on the choice of treatment strategy than cardiovascular comorbidities. |
| Author | Charn Sriratanasathavorn Huang Dejia Tse Hung Fat Shih-Ann Chen Razali Omar John Amerena Anthony King Jeong-Gwan Cho |
| AuthorAffiliation | 8 Makati Medical Centre, Makati City, Philippines 5 Department of Cardiology, West China Hospital, Chengdu, China 4 Department of Cardiovascular Medicine, Chonnam National University Hospital, Gwangju, Korea 6 National Heart Institute, Kuala Lumpur, Malaysia 7 Department of Medicine, Queen Mary Hospital, Hong Kong 1 Geelong Cardiology Research Center, Barwon Health, Deakin University, Victoria, Australia 2 Division of Cardiology, Taipei Veterans General Hospital, Taipei, Taiwan 3 Her Majesty’s Cardiac Center, Siriraj Hospital, Bangkok, Thailand |
| AuthorAffiliation_xml | – name: 4 Department of Cardiovascular Medicine, Chonnam National University Hospital, Gwangju, Korea – name: 3 Her Majesty’s Cardiac Center, Siriraj Hospital, Bangkok, Thailand – name: 2 Division of Cardiology, Taipei Veterans General Hospital, Taipei, Taiwan – name: 8 Makati Medical Centre, Makati City, Philippines – name: 1 Geelong Cardiology Research Center, Barwon Health, Deakin University, Victoria, Australia – name: 5 Department of Cardiology, West China Hospital, Chengdu, China – name: 6 National Heart Institute, Kuala Lumpur, Malaysia – name: 7 Department of Medicine, Queen Mary Hospital, Hong Kong |
| Author_xml | – sequence: 1 givenname: John surname: Amerena fullname: Amerena, John – sequence: 2 givenname: Shih-Ann surname: Chen fullname: Chen, Shih-Ann – sequence: 3 givenname: Charn surname: Sriratanasathavorn fullname: Sriratanasathavorn, Charn – sequence: 4 givenname: Jeong-Gwan surname: Cho fullname: Cho, Jeong-Gwan – sequence: 5 givenname: Huang surname: Dejia fullname: Dejia, Huang – sequence: 6 givenname: Razali surname: Omar fullname: Omar, Razali – sequence: 7 givenname: Tse Hung surname: Fat fullname: Fat, Tse Hung – sequence: 8 givenname: Anthony surname: King fullname: King, Anthony |
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| Keywords | Record-AFAP sinus arrhythmia atrial fibrillation rate control cardiac glycosides rhythm control |
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| Title | An International Observational Prospective Survey Assessing the Control of Atrial Fibrillation in Asia-Pacific: Results of the Record-AFAP Registry |
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