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Atrial fibrillation: an observational study with outpatients
Gastón Albina1, Julián De Luca, Diego Conde
1Department of Cardiology, Instituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina.
Pacing and Clinical Electrophysiology : PACE
|July 22, 2014
Summary
Argentine cardiologists primarily manage permanent atrial fibrillation (AF), often in asymptomatic patients. Rhythm control strategies showed higher success rates than rate control for AF treatment.
Area of Science:
- Cardiology
- Clinical Medicine
- Pharmacology
Background:
- Atrial fibrillation (AF) is a common arrhythmia with significant consequences.
- Limited data exists on AF treatment in Argentina.
- Understanding current management practices is crucial for improving patient outcomes.
Purpose of the Study:
- To describe the therapeutic management of non-acute atrial fibrillation (AF) by Argentine cardiologists.
- To determine the incidence of clinical events after 12 months of follow-up in AF patients.
Main Methods:
- The FARAON study was a prospective, observational, national, multicenter study.
- 373 outpatients with AF were enrolled across 38 sites in Argentina.
- Patients were followed for 12 months.
Main Results:
- The mean age of patients was 70 years, with 40% women.
- 65% had AF rhythm at inclusion; 57% had permanent AF, and 56% were asymptomatic.
- 40% of physicians chose rhythm control; amiodarone and beta-blockers were most common. Rhythm control had a higher success rate (80%) than rate control (57%).
Conclusions:
- Argentine cardiologists predominantly treat permanent AF, frequently in asymptomatic individuals.
- Rhythm control is a preferred strategy, with amiodarone being a common choice.
- Rhythm control therapy demonstrated superior efficacy compared to rate control.
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