Does rhythm matter in acute heart failure? An insight from the British Society for Heart Failure National Audit. View Full Text


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Article Info

DATE

2019-04-08

AUTHORS

Simon G Anderson, Ahmad Shoaib, Phyo Kyaw Myint, John G Cleland, Suzanna M Hardman, Theresa A McDonagh, Henry Dargie, Bernard Keavney, Clifford J Garratt, Mamas A Mamas

ABSTRACT

BACKGROUND: Atrial fibrillation (AF) is the most common sustained arrhythmia in patients with acute heart failure (AHF). The presence of AF is associated with adverse prognosis in patients with chronic heart failure (CHF) but little is known about its impact in AHF. METHODS: Data were collected between April 2007 and March 2013 across 185 (> 95%) hospitals in England and Wales from patients with a primary death or a discharge diagnosis of AHF. We investigated the association between the presence of AF and all-cause mortality during the index hospital admission, at 30 days and 1 year post-discharge. RESULTS: Of 96,593 patients admitted with AHF, 44,642 (46%) were in sinus rhythm (SR) and 51,951 (54%) in AF. Patients with AF were older (mean age 79.8 (79.7-80) versus 74.7 (74.5-74.7) years; p < 0.001), than those in SR. In a multivariable analysis, AF was independently associated with mortality at all time points, in hospital (HR 1.15, 95% CI 1.09-1.21, p < 0.0001), 30 days (HR 1.13, 95% CI 1.08-1.19, p < 0.0001), and 1 year (HR 1.09, 95% CI 1.05-1.12, p < 0.0001). In subgroup analyses, AF was independently associated with worse 30-day outcome irrespective of sex, ventricular phenotype and in all age groups except in those aged between 55 and 74 years. CONCLUSION: AF is independently associated with adverse prognosis in AHF during admission and up to 1 year post-discharge. As the clinical burden of concomitant AF and AHF increases, further refinement in the detection, treatment and prevention of AF-related complications may have a role in improving patient outcomes. More... »

References to SciGraph publications

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  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00392-019-01463-5

    DOI

    http://dx.doi.org/10.1007/s00392-019-01463-5

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1113300965

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/30963233


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        "description": "BACKGROUND: Atrial fibrillation (AF) is the most common sustained arrhythmia in patients with acute heart failure (AHF). The presence of AF is associated with adverse prognosis in patients with chronic heart failure (CHF) but little is known about its impact in AHF.\nMETHODS: Data were collected between April 2007 and March 2013 across 185 (>\u200995%) hospitals in England and Wales from patients with a primary death or a discharge diagnosis of AHF. We investigated the association between the presence of AF and all-cause mortality during the index hospital admission, at 30\u00a0days and 1\u00a0year post-discharge.\nRESULTS: Of 96,593 patients admitted with AHF, 44,642 (46%) were in sinus rhythm (SR) and 51,951 (54%) in AF. Patients with AF were older (mean age 79.8 (79.7-80) versus 74.7 (74.5-74.7) years; p\u2009<\u20090.001), than those in SR. In a multivariable analysis, AF was independently associated with mortality at all time points, in hospital (HR 1.15, 95% CI 1.09-1.21, p\u2009<\u20090.0001), 30\u00a0days (HR 1.13, 95% CI 1.08-1.19, p\u2009<\u20090.0001), and 1\u00a0year (HR 1.09, 95% CI 1.05-1.12, p\u2009<\u20090.0001). In subgroup analyses, AF was independently associated with worse 30-day outcome irrespective of sex, ventricular phenotype and in all age groups except in those aged between 55 and 74\u00a0years.\nCONCLUSION: AF is independently associated with adverse prognosis in AHF during admission and up to 1\u00a0year post-discharge. As the clinical burden of concomitant AF and AHF increases, further refinement in the detection, treatment and prevention of AF-related complications may have a role in improving patient outcomes.", 
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    N-Triples is a line-based linked data format ideal for batch operations.

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    RDF/XML is a standard XML format for linked data.

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