Care Indicators in Patients With Atrial Fibrillation: Assessment of Sex Differences and Management of Clinical Problems

Revista Española De Cardiología
Gonzalo Barón-EsquiviasVíctor López

Abstract

To assess sex differences and the management of clinical problems in patients with atrial fibrillation through the use of care indicators. Over a 5-month period, the study included all consecutive patients attended in the cardiology outpatient clinics of 2 tertiary hospitals with an atrial fibrillation episode or a clinical process due to atrial fibrillation. A total of 533 patients were included (56.5% women; mean age, 70.5 ± 12.2 years), of whom 24.3% were younger than 65 years. Women had significantly more clinical problems and a higher stroke risk: CHADS2 (congestive heart failure, hypertension, age, diabetes, stroke [doubled]) (1.8 ± 1.2 vs 1.5 ± 1.1; P = .001) and CHA2DS2-VASc (congestive heart failure, hypertension, age ≥ 75 [doubled], diabetes, stroke [doubled]-vascular disease and sex category [female]) (3.7 ± 1.4 vs 2.2 ± 1.4; P = .0001). Referrals to the cardiology department were appropriate in 94% of the patients, the referral source was primary care or other hospital services in 53.8%, and echocardiography was performed or recommended in 93.4%. Treatment (antiarrhythmics and anticoagulants) was administered according to guideline recommendations. In the previous 3 months, the Rosendaal index was 48.4 ± 37.4. One i...Continue Reading

References

Nov 8, 2005·Annals of Emergency Medicine·Carmen del ArcoUNKNOWN Investigators in the Spanish Atrial Fibrillation in Emergency Medicine Study Group (GEFAUR)
Jan 1, 2010·The New England Journal of Medicine·Donald Stuart Houston, Ryan Zarychanski
Sep 30, 2010·Europace : European Pacing, Arrhythmias, and Cardiac Electrophysiology : Journal of the Working Groups on Cardiac Pacing, Arrhythmias, and Cardiac Cellular Electrophysiology of the European Society of Cardiology·A John CammUNKNOWN ESC Committee for Practice Guidelines
Jun 7, 2011·Revista española de cardiología·Alberto CorderoJosé R González-Juanatey
Nov 8, 2011·Revista Española De Cardiología·Vivencio BarriosUNKNOWN Primary Care Group in the Clinical Cardiology Section of the Spanish Society of Cardiology
Sep 4, 2014·European Heart Journal·Riccardo CappatoStefan H Hohnloser

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