scholarly journals PCV38 HOSPITALIZATION AND MORTALITY IN ADVANCED-AGE PATIENTS WITH ATRIAL FIBRILLATION/ATRIAL FLUTTER BUT WITHOUT HEART FAILURE IN THE UNITED STATES

2009 ◽  
Vol 12 (7) ◽  
pp. A319
Author(s):  
PP Patel ◽  
SS Johnston ◽  
J Lin ◽  
KL Schulman ◽  
GV Naccarelli
Keyword(s):  
United States ◽  
Heart Failure ◽  
Atrial Fibrillation ◽  
Atrial Flutter ◽  
The United States ◽  
Advanced Age

TEMPORAL TREND IN ATRIAL FIBRILLATION AND ATRIAL FLUTTER ASSOCIATED MORTALITY IN THE UNITED STATES (1999-2017)

2020 ◽  
Vol 75 (11) ◽  
pp. 401
Author(s):  
Haider Al Taii ◽  
Ramez Morcos ◽  
Luis Mora ◽  
Ben Ravaee ◽  
Priya Bansal ◽  
...  
Keyword(s):  
United States ◽  
Atrial Fibrillation ◽  
Atrial Flutter ◽  
Temporal Trend ◽  
The United States

Atrial Fibrillation: Epidemiologic Considerations and Rationale for Conversion and Maintenance of Sinus Rhythm

2003 ◽  
Vol 8 (1_suppl) ◽  
pp. S13-S26 ◽  
Author(s):  
Bramah N. Singh
Keyword(s):  
United States ◽  
Heart Failure ◽  
Atrial Fibrillation ◽  
Heart Disease ◽  
Sinus Rhythm ◽  
Surgical Techniques ◽  
Hypertensive Heart Disease ◽  
Fold Increase ◽  
The United States ◽  
Lone Atrial Fibrillation

Atrial fibrillation is now the most common cardiac arrhythmia for which a patient is hospitalized. Clinically, it presents in a form that is paroxysmal, persistent, or permanent and may be symptomatic or asymptomatic, occurring in the setting of either no cardiac disease (“lone atrial fibrillation”) or, most often, in association with an underlying disease. Atrial fibrillation is associated with a 2-fold increase in mortality and, in the United States alone, causes over 75,000 cases of stroke per year. The annual prevalence of stroke is 5% to 7%, but the use of adequate anticoagulation can reduce this to less than 1%. Atrial fibrillation is a disorder of the elderly, with almost equal prevalence in men and women. In the United States, 80% of atrial fibrillation occurs in patients over the age of 65 years, and its prevalence tracks that of heart failure, which may be the cause, as well as the result, of the arrhythmia. Both conditions are increasing in epidemic proportions in the aging population. The most common causes of atrial fibrillation are hypertensive heart disease, coronary artery disease, and heart failure with a miscellany of lesser conditions, with about 10% lacking structural heart disease. Unlike other supraventricular arrhythmias, cure by the use of catheter ablation and surgical techniques has not been a reality except in a relatively small number of cases. However, restoration and maintenance of sinus rhythm remain the initial goal of therapy for most patients. Pharmacologic approaches remain the mainstay of therapy for rate control and anticoagulation as well as for maintenance of sinus rhythm following pharmacological or electrical conversion. The changing epidemiology of atrial fibrillation is highlighted, with the focus on its conversion by the use of newer and novel antifibrillatory agents relative to the mechanisms of the arrhythmia, to restore the stability of sinus rhythm.

Abstract 2157: Racial Differences in Hospitalizations for Atrial Fibrillation in the United States

Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Paul B Tabereaux ◽  
Todd M Brown ◽  
Jose Osorio ◽  
G. N Kay ◽  
Dawn M Bravada
Keyword(s):  
Diabetes Mellitus ◽  
United States ◽  
Risk Factors ◽  
Heart Failure ◽  
Atrial Fibrillation ◽  
Heart Disease ◽  
Ischemic Heart Disease ◽  
The United States ◽  
Principal Diagnosis ◽  
Common Risk Factors

Introduction: Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia in the United States; however a paucity of population-based data about nonwhite individuals exist. The objectives of this study were to compare hospitalizations among Whites and African Americans (AA) and to determine whether race is an independent predictor of hospitalization for AF in the United States. Methods: Data was obtained from the National Hospital Discharge Survey (years 1996 –2005) and included hospitalizations with a principal diagnosis of AF for patients aged ≥18 yrs and race designated as either White or AA. Codes from the International Classification of Diseases -9th revision were used to define AF (427.31), hypertension (401– 405), ischemic heart disease (410 – 414), diabetes mellitus (250), heart failure (425,428) and valvular heart disease (424). Multivariable analysis with logistic regression was used to identify factors that were independently associated with AF hospitalizations Results: Among 297,962,043 hospitalizations between 1996 –2005, 3,676,787 (1.2%) had a principal diagnosis of AF. Among the hospitalizations for AF, white race was more common than AA race (2,393,659/186,904,962 of whites (1.3% of white’s hospitalized) and 209,788/33,972,665 of African Americans (0.6% of AA’s hospitalized), p<0.0001). After adjusting for the most common risk factors for AF (age, sex, hypertension, ischemic heart disease, diabetes mellitus, heart failure and valvular heart disease) AA race was independently associated with a decreased odds of hospitalizations for AF (Table 1 : adjusted OR=0.49, 95%CI 0.46 – 0.51). Conclusions: After adjusting for the most common risk factors for AF, the odds of hospitalization for AF in AA’s remained half that of whites. Race may be a novel and unaccounted risk factor for atrial fibrillation.

scholarly journals Incidence and Mortality Trends of Atrial Fibrillation/Atrial Flutter in the United States 1990 to 2017

2021 ◽  
Author(s):  
Augustin J. DeLago ◽  
Mohammed Essa ◽  
Alireza Ghajar ◽  
Matthew Hammond-Haley ◽  
Arshi Parvez ◽  
...  
Keyword(s):  
United States ◽  
Atrial Fibrillation ◽  
Atrial Flutter ◽  
The United States ◽  
Mortality Trends ◽  
Incidence And Mortality

scholarly journals Cost Burden of Cardiovascular Hospitalization and Mortality in ATHENA-Like Patients With Atrial Fibrillation/Atrial Flutter in the United States

2010 ◽  
Vol 33 (5) ◽  
pp. 270-279 ◽  
Author(s):  
Gerald V. Naccarelli ◽  
Stephen S. Johnston ◽  
Jay Lin ◽  
Parag P. Patel ◽  
Kathy L. Schulman
Keyword(s):  
United States ◽  
Atrial Fibrillation ◽  
Atrial Flutter ◽  
The United States ◽  
Cost Burden

scholarly journals Hospital readmissions after catheter ablation for atrial fibrillation among patients with heart failure in the United States

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
F Lima ◽  
K Kennedy ◽  
A Parulkar ◽  
W Sheikh ◽  
E Sharma ◽  
...  
Keyword(s):  
United States ◽  
Heart Failure ◽  
Atrial Fibrillation ◽  
Catheter Ablation ◽  
Medical Therapy ◽  
Therapy Group ◽  
Hospital Readmissions ◽  
The United States ◽  
Patients With Heart Failure ◽  
Heart Failure Exacerbation

Abstract Background Catheter ablation for atrial fibrillation may improve quality of life and long-term mortality among patients with heart failure. Purpose The rates of hospital readmission after catheter ablation for atrial fibrillation among patients with an established diagnosis of heart failure are largely unknown. We aimed to assess the rates and causes of 30-day readmission among patients with heart failure undergoing catheter ablation vs. medical therapy for atrial fibrillation in the United States. Methods The 2016 Nationwide Readmissions Database was screened for patients with diagnosis of heart failure and atrial fibrillation using the 10th Revision of International Classification of Diseases codes. Patients undergoing catheter ablation for atrial fibrillation were grouped separately from those treated medically for atrial fibrillation. Thirty-day readmissions were assessed for both groups. Results The analytical cohort included 749,776 (national estimate of 1,421,673) patients with heart failure and atrial fibrillation. This included 2,204 patients that underwent catheter ablation. Patients treated with catheter ablation had lower 30-day readmissions compared to the medical therapy group (16.8% vs 20.1%, p&lt;0.001). Fifty-five percent of all readmissions among the catheter ablation cohort were related to cardiac events. Heart failure exacerbation (40%) and arrhythmia (36%) were the most common cardiac causes for readmission after catheter ablation (Figure). Conclusions In a contemporary nationwide analysis of patients with heart failure and atrial fibrillation, compared to medical therapy those treated with catheter ablation for atrial fibrillation had fewer 30-day readmissions after index hospital discharge. The most common cause for readmission among patients treated with catheter ablation was heart failure exacerbation and arrhythmia. Causes of readmission Funding Acknowledgement Type of funding source: None

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