Title of article :
Prognosis in Patients Hospitalized With Permanent and Nonpermanent Atrial Fibrillation in Heart Failure
Author/Authors :
Taillandier، نويسنده , , Sophie and Brunet Bernard، نويسنده , , Anne and Lallemand، نويسنده , , Benedicte and Simeon، نويسنده , , Edouard and Pericart، نويسنده , , Lauriane and Clementy، نويسنده , , Nicolas and Babuty، نويسنده , , Dominique and Fauchier، نويسنده , , Laurent، نويسنده ,
Issue Information :
روزنامه با شماره پیاپی سال 2014
Pages :
7
From page :
1189
To page :
1195
Abstract :
Atrial fibrillation (AF) and heart failure (HF) frequently coexist and are associated with an increased mortality. This study evaluated the prognosis of permanent and nonpermanent AF in patients with both AF and HF. All AF patients seen in our institution were identified and followed up. We included 1,906 patients suffering from AF and HF: 839 patients (44%) had preserved left ventricular ejection fraction (LVEF) and 1,067 patients (56%) had decreased LVEF; 1,056 patients (55%) had nonpermanent AF and 850 patients (45%) had permanent AF. During a median follow-up of 1.9 years (interquartile range 0.3 to 5.0), 377 patients died, 462 were readmitted for HF, and 200 had stroke or thromboembolic events. In patients with decreased LVEF, the rate of death was similar in patients with permanent or nonpermanent AF. In patients with preserved LVEF, permanent AF was associated with a higher risk of death and a higher risk of HF hospitalization. Stroke risk did not differ with permanent AF whatever the LVEF. NYHA functional class was an independent predictor of death (risk ratio [RR] = 1.33, 95% confidence interval [CI] 1.12 to 1.59, p = 0.001), as was permanent AF (RR = 1.79, 95%CI 1.32 to 2.42, p = 0.0002). Permanent AF (RR = 1.52, 95% CI 1.20 to 1.93, p = 0.0006) was also an independent predictor of readmission for HF. In conclusion, in patients with AF and HF, the risk of admission for HF and risk of death were higher when AF was permanent, particularly in patients with preserved LVEF. Stroke risk did not differ according to the pattern of AF, whatever the LVEF.
Journal title :
American Journal of Cardiology
Serial Year :
2014
Journal title :
American Journal of Cardiology
Record number :
1904652
Link To Document :
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