Cardioversion in patients with newly diagnosed non-valvular atrial fibrillation: observational study using prospectively collected registry data
Articolo
Data di Pubblicazione:
2021
Citazione:
Cardioversion in patients with newly diagnosed non-valvular atrial fibrillation: observational study using prospectively collected registry data / P. Marita Knudsen, H. Trygve S, S. Valentina, R. Petra, V. Saverio, P. Karen S, L.H. Jean-Yves, J. Petr, F. David A, C. Riccardo, A. Dan, C. A J., A.K. Kakkar, J. Bassand, K.A. A Fox, B. J Gersh, S. Z Goldhaber, S. Goto, S. Haas, W. Hacke, L. G Mantovani, F. Misselwitz, A.G. G Turpie, M. van Eickels, F.W. A Verheugt, H. Lucas Luciardi, H. Gibbs, M. Brodmann, F. Cools, A. Carlos Pereira Barretto, S. J Connolly, J. Eikelboom, R. Corbalan, Z. Jing, J. Dalsgaard Nielsen, H. Ragy, P. Raatikainen, H. Darius, M. Keltai, J. Pal Singh Sawhney, Y. Koretsune, C. Jerjes Sánchez Díaz, H. Ten Cate, J. Stepinska, E. Panchenko, T. Wei Lim, B. Jacobson, S. Oh, X. Viñolas, M. Rosenqvist, J. Steffel, P. Angchaisuksiri, A. Oto, A. Parkhomenko, W. Al Mahmeed, S. Z Goldhaber, D. Hu, K. Chen, Y. Zhao, H. Zhang, J. Chen, S. Cao, D. Wang, Y. Yang, W. Li, H. Li, Y. Yin, G. Tao, P. Yang, Y. Chen, S. He, Y. Wang, G. Fu, X. Li, T. Wu, X. Cheng, X. Yan, R. Zhao, M. Chen, L. Xiong, P. Chen, Y. Jiao, Y. Guo, L. Xue, Z. Yang, P. Jadhavm, R. Sarma, G. Kulkarni, P. Chandwani, R. Atulbhai Pothiwala, M. Padinhare Purayil, K. Chawla, V. Annasaheb Kothiwale, B. Raghuraman, V. Madan Vijan, J. Sawhney, G. Bantwal, A. Khan, R. Meena, M. Chopada, S. Abraham, V. Bisne, G. Vijayaraghavan, D. Roy, R. Durgaprasad, A. G Ravi Shankar, S. Kumar, D. Jain, K. Bhargava, V. Kumar, U. Madappa Nagamalesh, R. Kumar Rajput, Y. Koretsune, S. Kanamori, K. Yamamoto, K. Kumagai, Y. Katsuda, K. Yoshida, F. Toyota, Y. Mizuno, I. Misumi, H. Noguchi, S. Ando, T. Suetsugu, M. Minamoto, H. Oda, S. Adachi, K. Chiba, H. Norita, M. Tsuruta, T. Koyanagi, K. Yamamoto, H. Ando, T. Higashi, M. Okada, S. Azakami, S. Komaki, K. Kumeda, T. Murayama, J. Matsumura, Y. Oba, R. Sonoda, K. Goto, K. Minoda, Y. Haraguchi, H. Suefuji, H. Miyagi, H. Kato, T. Nakamura, T. Nakamura, H. Nandate, R. Zaitsu, Y. Fujiura, A. Yoshimura, H. Numata, J. Ogawa, Y. Kamogawa, K. Murakami, Y. Wakasa, M. Yamasawa, H. Maekawa, S. Abe, H. Kihara, S. Tsunoda, K. Saito, H. Tachibana, I. Oba, T. Kuwahata, S. Higa, M. Gushiken, T. Eto, H. Chibana, K. Fujisawa, Y. Shiga, H. Sumi, T. Nagatomo, Y. Atsuchi, T. Nagoshi, K. Sanno, F. Hoshino, N. Yokota, M. Kameko, T. Tabuchi, M. Ishizawa, Y. Fujiura, D. Ikeda, T. Seto, T. Iwao, N. Ishioka, K. Oshiro, K. Tsuchida, Y. Hatori, M. Takeuchi, H. Takezawa, S. Nagano, M. Iwaki, Y. Nakamura, N. Miyamoto, T. Taguchi, K. Ashida, N. Yoshizawa, J. Agata, S. Matsukawa, O. Arasaki, S. Fukuoka, H. Murakami, K. Mishima, Y. Hata, I. Sakuma, K. Obunai, I. Takamura, M. Akutsu, T. Unoki, Y. Go, M. Ikemura, S. Morii, S. Marusaki, H. Doi, M. Tanaka, T. Kusumoto, S. Kakinoki, C. Ogurusu, K. Murata, M. Shimoyama, M. Nakatsuka, Y. Kitami, Y. Nakamura, H. Oda, R. Oyama, M. Ageta, T. Mita, K. Nagao, T. Mito, J. Minami, M. Abe, M. Fujii, M. Okawa, T. Fujito, T. Taniguchi, T. Ko, H. Kubo, M. Imamaki, M. Akiyama, T. Ueda, H. Odakura, M. Inagaki, Y. Katsube, A. Nakata, S. Tomimoto, M. Shibuya, M. Nakano, K. Ito, M. Matsuta, M. Ishiguro, T. Minagawa, M. Wada, H. Mukawa, M. Mizuguchi, F. Okuda, T. Kimura, K. Taga, M. Techigawara, M. Igarashi, H. Watanabe, T. Seo, S. Hiramitsu, H. Hosokawa, M. Hoshiai, M. Hibino, K. Miyagawa, H. Horie, N. Sugishita, Y. Shiga, A. Soma, K. Neya, T. Yoshida, K. Akahane, S. Adachi, C. Takanaka, T. Ueda, S. Matsui, H. Kanda, M. Kaneko, S. Nagasaka, A. Taguchi, S. Toru, K. Saito, A. Miyashita, H. Sasaguri, J. Nariyama, T. Hatsuno, T. Iwase, K. Sato, K. Kawai, T. Kotani, T. Tsuji, H. Sakai, K. Nishino, K. Ikeda, K. Maeda, T. Shinozuka, T. Inoue, K. Kawakami, H. Kitazumi, T. Takagi, M. Hamaoka, J. Kojima, A. Sasaki, Y. Tsuchiya, T. Betsuyaku, K. Higuchi, M. Honda, K. Hasegawa, T. Baba, K. Mineoi, T. Koeda, K. Hirasawa, T. Kumazaki, A. Nakagomi, E. Otaki, T. Shindo, H. Hirayama, C. Sugimoto, T. Yamagishi,
Abstract:
OBJECTIVE To investigate the clinical outcomes of patients who underwent cardioversion compared with those who did not have cardioverson in a large dataset of patients with recent onset non-valvular atrial fibrillation. DESIGN Observational study using prospectively collected registry data (Global Anticoagulant Registry in the FIELD-AF-GARFIELD-AF). SETTING 1317 participating sites in 35 countries. PARTICIPANTS 52 057 patients aged 18 years and older with newly diagnosed atrial fibrillation (up to six weeks' duration) and at least one investigator determined stroke risk factor. MAIN OUTCOME MEASURES Comparisons were made between patients who received cardioversion and those who had no cardioversion at baseline, and between patients who received direct current cardioversion and those who had pharmacological cardioversion. Overlap propensity weighting with Cox proportional hazards models was used to evaluate the effect of cardioversion on clinical endpoints (all cause mortality, non-haemorrhagic stroke or systemic embolism, and major bleeding), adjusting for baseline risk and patient selection. RESULTS 44 201 patients were included in the analysis comparing cardioversion and no cardioversion, and of these, 6595 (14.9%) underwent cardioversion at baseline. The propensity score weighted hazard ratio for all cause mortality in the cardioversion group was 0.74 (95% confidence interval 0.63 to 0.86) from baseline to one year follow-up and 0.77 (0.64 to 0.93) from one year to two year follow-up. Of the 6595 patients who had cardioversion at baseline, 299 had a follow-up cardioversion more than 48 days after enrolment. 7175 patients were assessed in the analysis comparing type of cardioversion: 2427 (33.8%) received pharmacological cardioversion and 4748 (66.2%) had direct current cardioversion. During one year follow-up, event rates (per 100 patient years) for all cause mortality in patients who received direct current and pharmacological cardioversion were 1.36 (1.13 to 1.64) and 1.70 (1.35 to 2.14), respectively. OBJECTIVE To investigate the clinical outcomes of patients who underwent cardioversion compared with those who did not have cardioverson in a large dataset of patients with recent onset non-valvular atrial fibrillation. DESIGN Observational study using prospectively collected registry data (Global Anticoagulant Registry in the FIELD-AF-GARFIELD-AF). SETTING 1317 participating sites in 35 countries. PARTICIPANTS 52 057 patients aged 18 years and older with newly diagnosed atrial fibrillation (up to six weeks' duration) and at least one investigator determined stroke risk factor. MAIN OUTCOME MEASURES Comparisons were made between patients who received cardioversion and those who had no cardioversion at baseline, and between patients who received direct current cardioversion and those who had pharmacological cardioversion. Overlap propensity weighting with Cox proportional hazards models was used to evaluate the effect of cardioversion on clinical endpoints (all cause mortality, non-haemorrhagic stroke or systemic embolism, and major bleeding), adjusting for baseline risk and patient selection. RESULTS 44 201 patients were included in the analysis comparing cardioversion and no cardioversion, and of these, 6595 (14.9%) underwent cardioversion at baseline. The propensity score weighted hazard ratio for all cause mortality in the cardioversion group was 0.74 (95% confidence interval 0.63 to 0.86) from baseline to one year follow-up and 0.77 (0.64 to 0.93) from one year to two year follow-up.Of the 6595 patients who had cardioversion at baseline, 299 had a follow-up cardioversion more than 48 days after enrolment. 7175 patients were assessed in the analysis comparing type of cardioversion: 2427 (33.8%) received pharmacological cardi
Tipologia IRIS:
01 - Articolo su periodico
Elenco autori:
P. Marita Knudsen, H. Trygve S, S. Valentina, R. Petra, V. Saverio, P. Karen S, L.H. Jean-Yves, J. Petr, F. David A, C. Riccardo, A. Dan, C. A J., A.K. Kakkar, J. Bassand, K.A. A Fox, B. J Gersh, S. Z Goldhaber, S. Goto, S. Haas, W. Hacke, L. G Mantovani, F. Misselwitz, A.G. G Turpie, M. van Eickels, F.W. A Verheugt, H. Lucas Luciardi, H. Gibbs, M. Brodmann, F. Cools, A. Carlos Pereira Barretto, S. J Connolly, J. Eikelboom, R. Corbalan, Z. Jing, J. Dalsgaard Nielsen, H. Ragy, P. Raatikainen, H. Darius, M. Keltai, J. Pal Singh Sawhney, Y. Koretsune, C. Jerjes Sánchez Díaz, H. Ten Cate, J. Stepinska, E. Panchenko, T. Wei Lim, B. Jacobson, S. Oh, X. Viñolas, M. Rosenqvist, J. Steffel, P. Angchaisuksiri, A. Oto, A. Parkhomenko, W. Al Mahmeed, S. Z Goldhaber, D. Hu, K. Chen, Y. Zhao, H. Zhang, J. Chen, S. Cao, D. Wang, Y. Yang, W. Li, H. Li, Y. Yin, G. Tao, P. Yang, Y. Chen, S. He, Y. Wang, G. Fu, X. Li, T. Wu, X. Cheng, X. Yan, R. Zhao, M. Chen, L. Xiong, P. Chen, Y. Jiao, Y. Guo, L. Xue, Z. Yang, P. Jadhavm, R. Sarma, G. Kulkarni, P. Chandwani, R. Atulbhai Pothiwala, M. Padinhare Purayil, K. Chawla, V. Annasaheb Kothiwale, B. Raghuraman, V. Madan Vijan, J. Sawhney, G. Bantwal, A. Khan, R. Meena, M. Chopada, S. Abraham, V. Bisne, G. Vijayaraghavan, D. Roy, R. Durgaprasad, A. G Ravi Shankar, S. Kumar, D. Jain, K. Bhargava, V. Kumar, U. Madappa Nagamalesh, R. Kumar Rajput, Y. Koretsune, S. Kanamori, K. Yamamoto, K. Kumagai, Y. Katsuda, K. Yoshida, F. Toyota, Y. Mizuno, I. Misumi, H. Noguchi, S. Ando, T. Suetsugu, M. Minamoto, H. Oda, S. Adachi, K. Chiba, H. Norita, M. Tsuruta, T. Koyanagi, K. Yamamoto, H. Ando, T. Higashi, M. Okada, S. Azakami, S. Komaki, K. Kumeda, T. Murayama, J. Matsumura, Y. Oba, R. Sonoda, K. Goto, K. Minoda, Y. Haraguchi, H. Suefuji, H. Miyagi, H. Kato, T. Nakamura, T. Nakamura, H. Nandate, R. Zaitsu, Y. Fujiura, A. Yoshimura, H. Numata, J. Ogawa, Y. Kamogawa, K. Murakami, Y. Wakasa, M. Yamasawa, H. Maekawa, S. Abe, H. Kihara, S. Tsunoda, K. Saito, H. Tachibana, I. Oba, T. Kuwahata, S. Higa, M. Gushiken, T. Eto, H. Chibana, K. Fujisawa, Y. Shiga, H. Sumi, T. Nagatomo, Y. Atsuchi, T. Nagoshi, K. Sanno, F. Hoshino, N. Yokota, M. Kameko, T. Tabuchi, M. Ishizawa, Y. Fujiura, D. Ikeda, T. Seto, T. Iwao, N. Ishioka, K. Oshiro, K. Tsuchida, Y. Hatori, M. Takeuchi, H. Takezawa, S. Nagano, M. Iwaki, Y. Nakamura, N. Miyamoto, T. Taguchi, K. Ashida, N. Yoshizawa, J. Agata, S. Matsukawa, O. Arasaki, S. Fukuoka, H. Murakami, K. Mishima, Y. Hata, I. Sakuma, K. Obunai, I. Takamura, M. Akutsu, T. Unoki, Y. Go, M. Ikemura, S. Morii, S. Marusaki, H. Doi, M. Tanaka, T. Kusumoto, S. Kakinoki, C. Ogurusu, K. Murata, M. Shimoyama, M. Nakatsuka, Y. Kitami, Y. Nakamura, H. Oda, R. Oyama, M. Ageta, T. Mita, K. Nagao, T. Mito, J. Minami, M. Abe, M. Fujii, M. Okawa, T. Fujito, T. Taniguchi, T. Ko, H. Kubo, M. Imamaki, M. Akiyama, T. Ueda, H. Odakura, M. Inagaki, Y. Katsube, A. Nakata, S. Tomimoto, M. Shibuya, M. Nakano, K. Ito, M. Matsuta, M. Ishiguro, T. Minagawa, M. Wada, H. Mukawa, M. Mizuguchi, F. Okuda, T. Kimura, K. Taga, M. Techigawara, M. Igarashi, H. Watanabe, T. Seo, S. Hiramitsu, H. Hosokawa, M. Hoshiai, M. Hibino, K. Miyagawa, H. Horie, N. Sugishita, Y. Shiga, A. Soma, K. Neya, T. Yoshida, K. Akahane, S. Adachi, C. Takanaka, T. Ueda, S. Matsui, H. Kanda, M. Kaneko, S. Nagasaka, A. Taguchi, S. Toru, K. Saito, A. Miyashita, H. Sasaguri, J. Nariyama, T. Hatsuno, T. Iwase, K. Sato, K. Kawai, T. Kotani, T. Tsuji, H. Sakai, K. Nishino, K. Ikeda, K. Maeda, T. Shinozuka, T. Inoue, K. Kawakami, H. Kitazumi, T. Takagi, M. Hamaoka, J. Kojima, A. Sasaki, Y. Tsuchiya, T. Betsuyaku, K. Higuchi, M. Honda, K. Hasegawa, T. Baba, K. Mineoi, T. Koeda, K. Hirasawa, T. Kumazaki, A. Nakagomi, E. Otaki, T. Shindo, H. Hirayama, C. Sugimoto, T. Yamagishi, I. Mizuguchi, K. Sezaki, I. Niwa, K. Takenaka, O. Iiji, K. Taya, H. Kitazawa, S. Ueda, H. Kakuda, T. Ono, S. Oriso, J. Kamata, T. Nanke, I. Maeda,
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