An international observational prospective survey assessing the control of atrial fibrillation in Asia-Pacific: results of the record-AFAP registry

Amerena, John, Chen, Shih-Ann, Sriratanasathavorn, Charn, Cho, Jeong-Gwan, Dejia, Huang, Omar, Razali, Fat, Tse Hung and King, Anthony 2015, An international observational prospective survey assessing the control of atrial fibrillation in Asia-Pacific: results of the record-AFAP registry, Clinical medicine insights: cardiology, vol. 9, pp. 77-83, doi: 10.4137/CMC.S22022.

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Title An international observational prospective survey assessing the control of atrial fibrillation in Asia-Pacific: results of the record-AFAP registry
Author(s) Amerena, John
Chen, Shih-Ann
Sriratanasathavorn, Charn
Cho, Jeong-Gwan
Dejia, Huang
Omar, Razali
Fat, Tse Hung
King, Anthony
Journal name Clinical medicine insights: cardiology
Volume number 9
Start page 77
End page 83
Total pages 7
Publisher Libertas Academica
Place of publication Auckland, New Zealand
Publication date 2015-07-27
ISSN 1179-5468
Keyword(s) Record-AFAP
atrial fibrillation
cardiac glycosides
rate control
rhythm control
sinus arrhythmia
Summary A prospective 1-year observational survey was designed to assess the management and control of atrial fibrillation (AF) in eight countries within the Asia-Pacific region. Patients (N = 2,604) with recently diagnosed AF or a history of AF ≤1 year were included. Clinicians chose the treatment strategy (rhythm or rate control) according to their standard practice and medical discretion. The primary endpoint was therapeutic success. At baseline, rhythm- and rate-control strategies were applied to 35.7% and 64.3% of patients, respectively. At 12 months, therapeutic success was 43.2% overall. Being assigned to rhythm-control strategy at baseline was associated with a higher therapeutic success (46.5% vs 41.4%; P = 0.0214) and a lower incidence of clinical outcomes (10.4% vs 17.1% P < 0.0001). Patients assigned to rate-control strategies at baseline had higher cardiovascular morbidities (history of heart failure or valvular heart disease). Cardiovascular outcomes may be less dependent on the choice of treatment strategy than cardiovascular comorbidities.
Language eng
DOI 10.4137/CMC.S22022
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 929999 Health not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, Libertas Academica
Persistent URL http://hdl.handle.net/10536/DRO/DU:30081414

Document type: Journal Article
Collection: School of Medicine
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