Document Detail


Cross-sectional study of treatment strategies on atrial fibrillation.
MedLine Citation:
PMID:  22370610     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND: Despite the high prevalence and clinical importance of atrial fibrillation (AF), there is no Brazilian study about the clinical profile of patients with AF and the most used treatment strategy (heart rhythm control vs. heart rate control) for them. OBJECTIVE: To assess the most used treatment strategy for AF in an outpatient clinic specialized in the management of that disease. In addition, the clinical profile of the population studied was provided. METHODS: Cross-sectional study assessing sequentially, in 167 patients with AF, the most used treatment strategy, as well as their clinical profile. A standardized form was used for data collection. The statistical analysis was performed by using the SPSS® software, version 13.0. RESULTS: In that population at high risk for thromboembolic events (61% had CHADS2 > 2), 54% of the patients had paroxysmal or persistent AF, 96.6% used vitamin K antagonists or acetylsalicylic acid, and 76.6% used beta-blocker (heart rate, 81.2% x heart rhythm, 58.8%; p < 0.05). Heart rate control was the most used treatment strategy (79.5% x 20.5%; p < 0.001). A statistical tendency towards more patients with ventricular dysfunction (15.2% x 2.9%; p = 0.06), CHADS2 > 2 (60.5% x 39.5%; p = 0.07) and heart valve diseases (25.8% x 11.8%; p = 0.08) was observed in the heart rate control group. CONCLUSION: In that population at high risk for thromboembolic events, the heart rate control strategy was the most used.
Authors:
Lucas Hollanda Oliveira; Fabrício Bonnoto Mallmann; Fábio Nardo Botelho; Luiz Carlos Paul; Marcio Gianotto; Rafael de Biase Abt; Nilton José Carneiro Silva; Christian Moreno Luize; Fernando Lopes Nogueira; Ricardo Sobral Carvalho; Angelo Amato Vincenzo de Paola; Claudio Cirenza
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-2-29
Journal Detail:
Title:  Arquivos brasileiros de cardiologia     Volume:  -     ISSN:  1678-4170     ISO Abbreviation:  -     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-2-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0421031     Medline TA:  Arq Bras Cardiol     Country:  -    
Other Details:
Languages:  ENG; POR     Pagination:  -     Citation Subset:  -    
Affiliation:
Escola Paulista de Medicina, Universidade Federal de São Paulo, SP, Brasil.
Vernacular Title:
Estudo transversal das estratégias de tratamento clínico na fibrilação atrial.
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