| Physician stated atrial fibrillation management in light of treatment guidelines: data from an international, observational prospective survey. | |
| | |
MedLine Citation:
|
PMID: 20235224 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
|
BACKGROUND: The Registry on Cardiac Rhythm Disorders Assessing the Control of Atrial Fibrillation (RecordAF) study is the first worldwide, prospective, survey of real-life management of atrial fibrillation (AF) in recently diagnosed patients (n = 5604) with a 1-year follow-up. HYPOTHESIS: Surveys of AF management have identified a divergence between guidelines and clinical practice, and an overinterpretation of guidelines in low-risk patients. METHODS: : Physicians' theoretical approaches to rhythm and rate control were investigated using a pre-study questionnaire. RESULTS: One cardiologist, from each of the 583 sites in 6 regions, completed a questionnaire on their practice and management of AF patients. In AF patients with structural heart disease (SHD), amiodarone was the most frequent choice of first-line rhythm control agents in all regions. Amiodarone or sotalol tended to be the preferred second-line rhythm control agents, 1 exception being Central/South America. beta-Blockers were the first-line rate control agents for patients with AF and SHD in all regions, and calcium channel blockers and cardiac glycosides were the most common second-line rate control treatments in all regions, except Asia. In lone AF patients, propafenone (30.6%), flecainide (24.1%), and amiodarone (21.7%) were the most common global choices of first-line rhythm control, and amiodarone or sotalol were the preferred second-line rhythm control agents, 1 exception being Central/South America. CONCLUSIONS: These results highlight points of divergence from the American College of Cardiology (ACC)/ American Heart Association (AHA)/European Society of Cardiology (ESC) guidelines for the management of AF in terms of first-line drug selection in patients with associated SHD or coronary artery disease. |
| | |
Authors:
|
Peter R Kowey; Günter Breithardt; John Camm; Harry Crijns; Paul Dorian; Jean-Yves Le Heuzey; Laurence Pedrazzini; Eric N Prystowsky; Geneviève Salette; Peter J Schwartz; Christian Torp-Pedersen; William Weintraub |
Related Documents
:
|
14986894 - Cross-cultural management of pest animal damage: a case study of feral buffalo control ... 8062394 - Evaluation of national malaria control programmes in africa. 8153034 - Effects of systematic patient education about cough on the consulting behaviour of a ge... 9213614 - Rules and regulations of the government of vietnam on collection and exportation of bio... 10427434 - The evolving role of the librarian in evidence-based medicine. 19157054 - Preventing practice errors and improving patient safety: an examination of case studies... |
Publication Detail:
|
Type: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, Non-U.S. Gov't |
Journal Detail:
|
Title: Clinical cardiology Volume: 33 ISSN: 1932-8737 ISO Abbreviation: Clin Cardiol Publication Date: 2010 Mar |
Date Detail:
|
Created Date: 2010-03-22 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7903272 Medline TA: Clin Cardiol Country: United States |
Other Details:
|
Languages: eng Pagination: 172-8 Citation Subset: IM |
Copyright Information:
|
Copyright (c) 2010 Wiley Periodicals, Inc. |
Affiliation:
|
Lankenau Hospital, 100 Lancaster Avenue, Wynnewood, PA, USA. koweyp@mlhs.org |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Distinct roles for telethonin N-versus C-terminus in sarcomere assembly and maintenance.
Next Document: Placodal sensory ganglia coordinate the formation of the cranial visceral motor pathway.