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1. Atrial fibrillation management: a prospective survey in ESC Member Countries

Author

Baciarello, Giacinto, Cicconetti, Paolo, Grigoryan, Armenia: S. V., Apetyan, I., Aroyan, S., Azarapetyan, L., Austria: Anahit Anvari, Michael Gottsauner Wolf, Stefan, Pfaffenberger, Kurt, Huber, Kadriye, Aydinkoc, Karim, Kalla, Martina, Penka, Heinz, Drexel, Peter, Langer, Pierard, Belgium: Luc A., Victor, Legrand, Dominique, Blommaert, Schroeder, E., Isabelle, Mancini, William, Wijns, Geelen, P., Brugada, P., Marc De Zutter, Christiaan, Vrints, Marc, Vercammen, Marielle, Morissens, Bulgaria: Borislav Boyanov Borisov, Valentin Asenov Petrov, Maria Marinova Alexandrova, Assen Rachev Goudev, Vera, Sirakova, Yavor, Peychev, Vassil, Stoyanovsky, Evgeni, Stoynev, Croatia: Stjepan Kranjcevic, Cyprus: Joseph Moutiris, Marios Ioannides, Switzerland: Dominique Evequoz, Czech Republic: Jaroslava Spacilova, Roman, Cerbak, Miroslav, Novak, Martin, Eisenberger, Jolana, Mullerova, Josef, Kautzner, Lucie, Riedlbauchova, Jan, Petru`, Milos, Taborsky, Denmark: Per Thayssen, Helle Cappelen, Sharaf, Egypt: Yasser A., Ibrahim, B. S. S., Khalid, Tammam, Aly, Saad, Helmy, Elghawaby, Hamed Zaky Sherif, Heba, Farouk, Andresen, Germany: D., Arlett, Mielke, Gunter, Breithardt, Markus, Engelen, Paulus, Kirchhof, Pia, Zimmermann, Fernandez Aviles, Spain: F., Jeronimo, Rubio, Malpartida, F., Corona, M., Luis Tercedor Sanchez, Jose Miguel Lozano Herrera, Aurelio, Quesada, Munoz Garcia, Antonio J., Carlos Sanchez Gonzalez, Soledad Alcasena Juango, M., Jesus Berjon Reyero, Alegret, Josep M., Cruz Fernandez, J. M., Cesar Carrascosa Rosillo, Antonio Fernandez Romero, Miguel Gonza´lez Lara, Lopez Sendon, Jose´ L., Jose´ Juan Gomez de Diego, Luis Sosa Martin, Maria, Irurita, Norbero Herrera Guttierez, Juan Ramon Siles Rubio, Isabel, Antorrena, Alicia Bautista Paves, Antonio, Salvador, Maria Dolores Orriach, Alonso Garcia, A., Francisco, Epelde, Vicente Bertomeu Martinez, Antonio Berruezo Sanchez, Carlos Pinero Galvez, Rafael Fernandez Rivero, Antonio Hernandez Madrid, Gonzalo Baron Esquivias, Rafael, Peinado, Jose´ Antonio Gomez Guindal, Tomas Ripoll Vera, Emilio Luengo Fernandez, Ricardo, Gayan, Javier, Garcia, Andres, Bodegas, Jesus Toril Lopez, Julio Martinez Florez, Cristobal Lozano Cabezas, Eduardo Vazquez Ruiz de Castroviejo, Juan Munoz Bellido, Maria Eugenia Ruiz, Finland: Seppo Lehto, Kirsti, Savolainen, Markku, Nieminen, Lauri, Toivonen, Mikko, Syvanne, Mervi, Pietila, France: Daniel Galley, Christine, Beltra, Samuel, Le´vy, Alain, Gay, Daubert, J. C., Guillaume, Lecocq, Christine, Poulain, Cleland, United Kingdom: J. G. F. C., Rhidian, Shelton, Lip, G. Y. H., Choudhury, A., Georgia: Gulnara Abuladze, Irina Jashi, Cokkinos, Greece: Dennis V., Anastasia, Tsiavou, Giamouzis, G., Dagres, N., Kostopoulou, A., Domproglou, Tsoutsanis, Stefanadis, C. h., George, Latsios, Ioannis, Vogiatzis, Alexandros, Gotsis, Paraskevi, Bozia, Maria, Karakiriou, Spyridon, Koulouris, John, Parissis, George, Kostakis, Nikos, Kouris, Dimitra, Kontogianni, Koutroubas, Athanasios, Alexandros, Douras, Themistoklis, Tsanakis, Panos, Vardas, Mary, Marketou, Nikolaos, Patsourakos, Hungary: Laszlo Czopf, Robert, Halmosi, Istvan, Pre´da, Eva, Csoti, Andrea, Badics, Israel: Boris Strasberg, Freedberg, Nahum A., Amos, Katz, Eli, Zalzstein, Aviva, Grosbard, Goldhammer, E., Menachem, Nahir, Menashe, Epstein, Ida, Vider, David, Luria, Lori, Mandelzweig, Italy: Bruno Aloisi, Alfio, Cavallaro, Emanuele, Antonielli, Baldassarre, Doronzo, Diego, Pancaldo, Carlo, Mazzola, Liliana, Buontempi, Valeria, Calvi, Giuseppe, Giuffrida, Antonino, Figlia, Francesco, Ippolito, Gian Paolo Gelmini, Gaibazzi, N., Virgilio, Ziacchi, Francesco De Tommasi, Federico, Lombardi, Cesare, Fiorentini, Paolo, Terranova, Pietro, Maiolino, Muhamad, Albunni, Plinio Pinna Pintor, Stefano, Fumagalli, Guilio, Masotti, Lorenzo, Boncinelli, Domenico, Rossi, Giovanni Maria Santoro, Massimo, Fioranelli, Franco, Naccarella, Stefano Sdringola Maranga, Giovannina, Lepera, Barbara, Bresciani, Elena, Seragnoli, Mara Cantelli Forti, Valentina, Cortina, Giacinto, Baciarello, Paolo, Cicconetti, Antonio, Lax, Federica, Vitali, Diran, Igidbashian, Luisa, Scarpino, Sergio, Terrazzino, Luigi, Tavazzi, Francesco, Cantu, Francesco, Pentimalli, Salvatore, Novo, Giuseppe, Coppola, Gianluca, Zingarini, Giuseppe, Ambrozio, Paolo, Moruzzi, Sergio, Callegari, Gabriele, Saccomanno, Paolo, Russo, Emanuele, Carbonieri, Anna, Paino, Marco, Zanetta, Enzo, Barducci, Roberto, Cemin, Werner, Rauhe, Walter, Pitscheider, Marina, Meloni, Sergio Mariano Marchi, Marco Di Gennaro, Sergio, Calcagno, Paola, Squaratti, Francesco, Quartili, Patrizia, Bertocchi, Mario De Martini, Giuseppe, Mantovani, Roman, Komorovsky, Alessandro, Desideri, Leopoldo, Celegon, Luigi, Tarantini, Giuseppe, Catania, Donata, Lucci, Francesca, Bianchini, Lithuania: Aras Puodziukynas, Ausra, Kavoliuniene, Vilija, Barauskiene, Audrius, Aidietis, Jurate, Barysiene, Vitas, Vysniauskas, Irena, Zukauskiene, Nijole, Kazakeviciene, Macedonia: Ljubica Georgievska Ismail, Lidija Poposka, Moldova: Eleonora Vataman, Aurel A. Grosu, The Netherlands: Wilma Scholte op Reimer, Esther de Swart, Mattie, Lenzen, Jaap, Deckers, Chris, Jansen, Ritzo, Brons, Henriette, Tebbe, van Hoogenhuyze, D. C. A., Veerhoek, M. J., Maria, Kamps, Haan, D., Nitolanda van Rijn, Annette, Bootsma, Leo, Baur, Adrie van den Dool, Harry, Crijns, Robby, Nieuwlaat, Heidi, Fransen, Luc, Eurlings, Joan, Meeder, De Boer, M. J., Jobst, Winter, Herman, Broers, Chris, Werter, Bijl, M., Saskia, Versluis, Poland: Malgorzata Milkowska, Beata Wozakowska Kaplon, Marianna, Janion, Lidia, Lepska, Grazyna, Swiatecka, Piotr, Kokowicz, Jacek, Cybulski, Aleksandr, Gorecki, Marcin, Szulc, Jerzy, Rekosz, Rafal, Manczak, Anna Maria Wnuk Wojnar, Trusz Gluza, M., Anna Rybicka Musialik, Jaroslaw, Myszor, Michal, Szpajer, Krzysztof, Cymerman, Jerzy, Sadowski, Maria Sniezek Maciejewska, Mariola Ciesla Dul, Izabela Gorkiewicz Kot, Tomasz, Grodzicki, Krzysztof, Rewiuk, Leszek, Kubik, Jacek, Lewit, Portugal: Joao Manuel Frazao Rodrigues de Sousa, Rafael, Ferreira, Antonio, Freitas, Joao Carlos Araujo Morais, Rui, Pires, Veloso Gomes, M. J., Paula, Gago, Candeias, Rui Alexandre C., Luis, Nunes, Joao Vitor Miranda Sa, Miguel, Ventura, Mario de Oliveira, Luis Brandao Alves, Romania: Ioan Bostaca, Olariu, Codin T., Dan, G. A., Anca, Dan, Cristian, Podoleanu, Attila, Frigy, Georgescu, George I. M., Catalina, Arsenescu, Cristian, Statescu, Radu, Sascau, Dimitrascu, Dan L., Raluca, Rancea, Shubik, Russian Federation: Yuri V., Dmitry, Duplyakov, Marina, Shalak, Vyacheslav, Mareev, Marine, Danielyan, Albert, Galyavich, Venera, Zakirova, Slovakia: Robert Hatala, Gabriela, Kaliska, Jan, Kmec, Slovenia: Igor Zupan, Jerneja, Tasie`, Damijan, Vokac, org at Arcuri DFM 96 on April 27, Sweden: Nils 2432 R. Nieuwlaat Downloaded from e. u. r. h. e. a. r. t. j. o. x. f. o. r. d. j. o. u. r. n. a. l. s., 2010, Edvardsson, Dritan, Poci, Tunisia: Habib Gamra, Hichem Denguir, Turkey: Tugrul Okay, Ahmet, Sepetoglu, Alev Arat Ozkan, Ukraine: Mariya Orynchak, Elena, Paliy, Vakalyuk, I., Oleg, Sychov, David, Malidze, Rostyslav, Prog, Myckola Ivanovich Yabluchansky, Nataliya Volodimirovna Makienko, Serbia, Montenegro: Tatjana Potpara, Sofija, Knezevic, and Miomir, Randjelovic

Subjects
medicine.medical_specialty, Heart disease, business.industry, MEDLINE, Atrial fibrillation, Rhythm control, medicine.disease, Asymptomatic, Heart failure, Internal medicine, Concomitant, medicine, medicine.symptom, Cardiology and Cardiovascular Medicine, Intensive care medicine, business, Prospective cohort study
Abstract

Aims To describe atrial fibrillation (AF) management in member countries of the European Society of Cardiology (ESC) and to verify cardiology practices against guidelines. Methods and results Among 182 hospitals in 35 countries, 5333 ambulant and hospitalized AF patients were enrolled, in 2003 and 2004. AF was primary or secondary diagnosis, and was confirmed on ECG in the preceding 12 months. Clinical type of AF was reported to be first detected in 978, paroxysmal in 1517, persistent in 1167, and permanent in 1547 patients. Concomitant diseases were present in 90% of all patients, causing risk factors for stroke to be also highly prevalent (86%). As many as 69% of patients were symptomatic at the time of the survey; among asymptomatic patients, 54% were previously experienced symptoms. Oral anticoagulation was prescribed in 67 and 49% of eligible and ineligible patients, respectively. A rhythm control strategy was applied in 67% of currently symptomatic patients and in 44% of patients who never experienced symptoms. Conclusion This survey provides a unique snapshot of current AF management in ESC member countries. Discordance between guidelines and practice was found regarding several issues on stroke prevention and antiarrhythmic therapy.

Published
2005
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2. Euroheart failure survey II (EHFS II): a survey on hospitalized acute heart failure patients: description of population

Author

Attila Frigy, Gregor Poglajen, Maria Trukshina, Cristian Podoleanu, Aly Saad, RAQUEL DEL VALLE FERNANDEZ, Lino Goncalves, Michal Marchel, Alexandros PAtrianakos, Vyacheslav Yurievich Mareev, Piotr Ponikowski, Christodoulos Stefanadis, Stefan Naydenov, and Manuel Francisco Jiménez Navarro

Subjects
Adult, Male, medicine.medical_specialty, Heart disease, medicine.drug_class, Population, Age Distribution, Risk Factors, Internal medicine, medicine, Humans, Hospital Mortality, Systole, education, Beta blocker, Aged, Aged, 80 and over, Heart Failure, education.field_of_study, Ejection fraction, business.industry, Cardiogenic shock, Atrial fibrillation, Middle Aged, medicine.disease, Hospitalization, Heart failure, Acute Disease, Cardiology, Female, Cardiology and Cardiovascular Medicine, business
Abstract

Aims The objective of the EuroHeart Failure Survey II (EHFS II) was to assess patient characteristics, aetiology, treatment, and outcome of acute heart failure (AHF) in Europe in relation to the guidelines on the diagnosis and treatment of AHF published by the European Society of Cardiology. Methods and results Patients hospitalized for AHF were recruited by 133 centres in 30 European countries. Three thousand five hundred and eighty patients were entered into the database by the end of August 2005. Mean age was 70 years, and 61% of patients were male. New-onset AHF ( de novo AHF) was diagnosed in 37%, of which 42% was due to acute coronary syndromes (ACS). Clinical classification according to the guidelines divided AHF patients into (i) decompensated HF (65%), (ii) pulmonary oedema (16%), (iii) HF and hypertension (11%), (iv) cardiogenic shock (4%), and (v) right HF (3%). Coronary heart disease, hypertension, and atrial fibrillation were the most common underlying conditions. Arrhythmias, valvular dysfunction, and ACS were each present as precipitating factor in one-third of cases. Preserved left ventricular ejection fraction (≥45%) was observed in 34%. Valvular disorders were common, especially mitral regurgitation (MR) which was reported on echocardiography in 80% of patients. Median length of stay was 9 days, and in-hospital mortality 6.7%. At discharge, 80% of patients were on angiotensin-converting enzyme-inhibitors or angiotensin receptor blockers, whereas 61% were taking beta-blocker medication. Conclusion Decompensated HF is the most common clinical presentation of AHF patients. More than one-third of AHF patients do not have a previous history of HF, and new-onset HF is often caused by ACS. Preserved systolic function is found in a substantial proportion of the patients. The prevalence of valvular dysfunction is strikingly high and contributes to the clinical presentation. The EHFS II on AHF verified that the use of evidence-based HF medication was well adopted to clinical practice.

Published
2006

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