Regional Lack of Consistency in the Management of Atrial Fibrillation (from the RECORD-AF Trial).

TitleRegional Lack of Consistency in the Management of Atrial Fibrillation (from the RECORD-AF Trial).
Publication TypeJournal Article
Year of Publication2017
JournalThe American journal of cardiology
Volume119
Issue1
Pagination47-51
Date Published2017 Jan 1
ISSN0002-9149
AbstractAmerican and European society guidelines for atrial fibrillation management mostly agree on the utilization of rate and rhythm control strategies and the indications for oral anticoagulant (OAC) use. However, the level of adherence to guidelines in clinical practice may vary by region. In this study, data analysis from The Registry on Cardiac rhythm disorders assessing the control of Atrial Fibrillation (RECORD-AF) registry, an international registry in patients with newly diagnosed atrial fibrillation of <1 year, shows that differences in practice exist between 3 regions, namely Western Europe, Eastern Europe, and North America. Data analyzed included major cardiovascular outcomes at 12 months, choice of rhythm versus rate control strategy and the use of OAC according to CHADS2 score between regions, and the cost incurred according to management strategy. In conclusion, there is preference for rhythm control strategy in Europe compared to North America without a significant impact on major cardiovascular outcomes; there is significant discrepancy in the use of OAC in Eastern Europe compared to the 2 other regions; and rate control was found to be more costly in all regions.
URLhttps://linkinghub.elsevier.com/retrieve/pii/S0002-9149(16)31567-3
DOI10.1016/j.amjcard.2016.09.009
PubMed Linkhttp://www.ncbi.nlm.nih.gov/pubmed/27816112?dopt=Abstract
Short TitleAm J Cardiol