Patients with atrial fibrillation and mid-range ejection fraction differ in anticoagulation pattern, thrombotic and mortality risk independently of CHA


Journal

Heart and vessels
ISSN: 1615-2573
Titre abrégé: Heart Vessels
Pays: Japan
ID NLM: 8511258

Informations de publication

Date de publication:
Sep 2020
Historique:
received: 24 01 2020
accepted: 27 03 2020
pubmed: 6 4 2020
medline: 15 12 2020
entrez: 6 4 2020
Statut: ppublish

Résumé

Atrial fibrillation (AF) patients with mid-range left ventricular ejection fraction (mrEF) of 40-49% have neither preserved (pEF > 50%) nor reduced (rEF < 40%) EF and are increasingly being recognized as a distinct group with specific clinical risks. We aimed to retrospectively investigate clinical characteristics and associated thrombotic, bleeding and mortality risks of mrEF in comparison to pEF and rEF in a cohort of 1000 non-valvular AF patients presenting in our institution during the period 2013-2018. Patients with mrEF presented with older age (P < 0.001) and a higher frequency of arterial hypertension (P = 0.001) in comparison to both pEF and rEF patients. In comparison to pEF, mrEF patients were more likely to have diabetes mellitus (P = 0.004), lower HDL-cholesterol (P < 0.001) and lower estimated glomerular filtration rate (P < 0.001), significantly higher CHA

Identifiants

pubmed: 32248252
doi: 10.1007/s00380-020-01603-2
pii: 10.1007/s00380-020-01603-2
doi:

Substances chimiques

Anticoagulants 0

Types de publication

Comparative Study Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1243-1249

Auteurs

Ivana Jurin (I)

Cardiology Department, University Hospital Dubrava, Av. Gojka Suska 6, 10000, Zagreb, Croatia.

Marko Lucijanic (M)

Hematology Department, University Hospital Dubrava, Av. Gojka Suska 6, 10000, Zagreb, Croatia. markolucijanic@yahoo.com.

Hrvoje Jurin (H)

University Clinic of Cardiovascular Diseases, University Hospital Centre Zagreb, Kispaticeva ul. 12, 10000, Zagreb, Croatia.

Boris Starcevic (B)

Cardiology Department, University Hospital Dubrava, Av. Gojka Suska 6, 10000, Zagreb, Croatia.
School of Medicine, University of Zagreb, Salata 3, 10000, Zagreb, Croatia.

Josip Varvodic (J)

Cardiothoracic Surgery Department, University Hospital Dubrava, Av. Gojka Suska 6, 10000, Zagreb, Croatia.

Jasmina Catic (J)

Cardiology Department, University Hospital Dubrava, Av. Gojka Suska 6, 10000, Zagreb, Croatia.
Faculty of Medicine, University of Osijek, Ul. Josipa Huttlera 4, 31000, Osijek, Croatia.

Andjela Jurisic (A)

Cardiology Department, University Hospital Dubrava, Av. Gojka Suska 6, 10000, Zagreb, Croatia.

Petra Vitlov (P)

Cardiology Department, University Hospital Dubrava, Av. Gojka Suska 6, 10000, Zagreb, Croatia.

Sanda Sokol Tomic (S)

Cardiology Department, University Hospital Dubrava, Av. Gojka Suska 6, 10000, Zagreb, Croatia.

Jelena Lucijanic (J)

Health Care Center Zagreb-West, Ul. Baruna Filipovica 11, 10000, Zagreb, Croatia.

Irzal Hadzibegovic (I)

Cardiology Department, University Hospital Dubrava, Av. Gojka Suska 6, 10000, Zagreb, Croatia.
Faculty of Medicine, University of Osijek, Ul. Josipa Huttlera 4, 31000, Osijek, Croatia.

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Classifications MeSH