Back to Search
Start Over
Characteristics and outcomes of atrial fibrillation in patients without traditional risk factors
- Source :
- Europace, Europace, 22(6), 870-877. Oxford University Press
- Publication Year :
- 2020
-
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 (1:3 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 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 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.
- Subjects :
- Male
COUNTRIES
medicine.medical_specialty
Registry
PROGNOSIS
Heart disease
030204 cardiovascular system & hematology
Left ventricular hypertrophy
Borderline risk factors
Coronary artery disease
03 medical and health sciences
0302 clinical medicine
Lone atrial fibrillation
Clinical Research
Risk Factors
Physiology (medical)
Internal medicine
Atrial Fibrillation
medicine
Less-established risk factors
MANAGEMENT
Humans
030212 general & internal medicine
Registries
Stroke
Atrial fibrillation hospitalization
Heart Failure
business.industry
MORTALITY
DEATH
Atrial fibrillation
Middle Aged
medicine.disease
Cardiac surgery
Heart failure
Cardiology and Cardiovascular Medicine
business
Substrate
30-YEAR FOLLOW-UP
Kidney disease
Subjects
Details
- Language :
- English
- ISSN :
- 10995129
- Volume :
- 22
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Europace
- Accession number :
- edsair.doi.dedup.....b4344ab6bc962b407632a87da3a62746