Symptomatic and Asymptomatic Patients in the Polish Atrial Fibrillation (POL-AF) Registry

被引:12
作者
Kiliszek, Marek [1 ]
Uzieblo-Zyczkowska, Beata [1 ]
Gorczyca, Iwona [2 ]
Maciorowska, Malgorzata [1 ]
Jelonek, Olga [2 ]
Wozakowska-Kaplon, Beata [2 ]
Wojcik, Maciej [3 ]
Blaszczyk, Robert [3 ]
Gawalko, Monika [4 ]
Kaplon-Cieslicka, Agnieszka [4 ]
Tokarek, Tomasz [5 ,6 ]
Rajtar-Salwa, Renata [5 ]
Bil, Jacek [7 ]
Wojewodzki, Michal [7 ]
Szpotowicz, Anna [8 ]
Krzciuk, Malgorzata [8 ]
Bednarski, Janusz [9 ]
Bakula-Ostalska, Elwira [9 ]
Tomaszuk-Kazberuk, Anna [10 ]
Szyszkowska, Anna [11 ]
Welnicki, Marcin [12 ]
Mamcarz, Artur [12 ]
Krzesinski, Pawel [1 ]
机构
[1] Mil Inst Med, Dept Cardiol & Internal Dis, PL-04141 Warsaw, Poland
[2] Jan Kochanowski Univ, Coll Med, Swietokrzyskie Cardiol Ctr, Clin Cardiol & Electrotherapy 1, PL-25369 Kielce, Poland
[3] Med Univ Lublin, Dept Cardiol, PL-20059 Lublin, Poland
[4] Med Univ Warsaw, Dept Cardiol 1, PL-02097 Warsaw, Poland
[5] Univ Hosp, Dept Cardiol & Cardiovasc Intervent, PL-30688 Krakow, Poland
[6] Jagiellonian Univ Med Coll, Dept Intens Care & Perioperat Med, PL-30688 Krakow, Poland
[7] Ctr Postgrad Med Educ, Dept Invas Cardiol, PL-02507 Warsaw, Poland
[8] Reg Hosp, Dept Cardiol, PL-27400 Ostrowiec Swietokrzyski, Poland
[9] St John Paul II Western Hosp, Dept Cardiol, PL-05825 Grodzisk Mazowiecki, Poland
[10] Med Univ Bialystok, Dept Cardiol, PL-15276 Bialystok, Poland
[11] Univ Hosp Bialystok, Dept Cardiol, PL-15276 Bialystok, Poland
[12] Warsaw Med Univ, Dept Internal Dis & Cardiol 3, PL-02091 Warsaw, Poland
关键词
atrial fibrillation; EHRA class; registry; RISK-FACTOR; FOLLOW-UP; PROGNOSIS; STROKE;
D O I
10.3390/jcm10051091
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background: Atrial fibrillation (AF) can cause severe symptoms, but it is frequently asymptomatic. We aimed to compare the clinical features of patients with asymptomatic and symptomatic AF. Methods: A prospective, observational, multicenter study was performed (the Polish Atrial Fibrillation (POL-AF) registry). Consecutive hospitalized AF patients over 18 years of age were enrolled at ten centers. The data were collected for two weeks during each month of 2019. Results: A total of 2785 patients were analyzed, of whom 1360 were asymptomatic (48.8%). Asymptomatic patients were more frequently observed to have coronary artery disease (57.5% vs. 49.1%, p < 0.0001), heart failure with preserved ejection fraction (39.8% vs. 26.5%, p < 0.0001), a previous thromboembolic event (18.2% vs. 13.1%, p = 0.0002), and paroxysmal AF (52.3% vs. 45.2%, p = 0.0002). In multivariate analysis, history of electrical cardioversion, paroxysmal AF, heart failure, coronary artery disease, previous thromboembolic event, and higher left ventricular ejection fraction were predictors of a lack of AF symptoms. First-diagnosed AF was a predictor of AF symptoms. Conclusions: In comparison to symptomatic patients, more of those hospitalized with asymptomatic AF had been previously diagnosed with this arrhythmia and other cardiovascular diseases. However, they presented with better left ventricular function and were more frequently treated with cardiovascular medicines.
引用
收藏
页码:1 / 9
页数:9
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