Analysis of Atrial Fibrillation Treatment Regimes in a Multicenter Cohort of Transcatheter Edge-to-Edge Mitral Valve Repair Patients
المؤلفون المشاركون
Chatzis, Georgios
Schieffer, Bernhard
Waechter, Christian
Ausbuettel, Felix
Fischer, Dieter
Nef, Holger
Barth, Sebastian
Halbfaß, Philipp
Deneke, Thomas
Kerber, Sebastian
Divchev, Dimitar
Luesebrink, Ulrich
المصدر
Journal of Interventional Cardiology
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-08-28
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
Atrial fibrillation (AF) is a highly prevalent comorbidity in patients with severe mitral valve regurgitation (MR).
Recent studies show a deleterious outcome of patients with concomitant AF after transcatheter mitral valve repair (TMVR).
This underlines the essential need for additional strategies that ameliorate the prognosis of these patients.
Fundamental data on AF characteristics and treatment regimes in this special cohort of patients are lacking.
Methods.
We retrospectively analyzed the data of 542 consecutive patients with severe MR undergoing TMVR in three tertiary heart centers with special focus on AF type and underlying treatment strategies.
Results.
The prevalence of concomitant AF was 73.3%, and AF did not affect the procedural success or the incidence of major adverse cardiac and cerebrovascular events.
The patients with AF were more frequently >75 years, had more tricuspid regurgitation, and less coronary artery disease than non-AF patients.
The distribution of AF types was 32% paroxysmal AF, 27% persistent AF, and 41% permanent AF.
Except for a higher degree in severe tricuspid regurgitation and a higher likelihood of male sex, no substantial differences were observed while comparing permanent and nonpermanent AF patients.
The predominant treatment regime was rate control (57%), with only beta blockers (BB) in the majority of persistent and permanent AF patients, while additional digitalis or a pacemaker was used infrequently.
Rhythm control was mainly achieved with BB alone in paroxysmal AF patients and with additional antiarrhythmic drugs in the majority of persistent AF patients.
Interventional rhythm control therapy was performed in 2.5% and 30.9% of paroxysmal and persistent AF patients, respectively.
The guideline-adherent use of oral anticoagulants was comparable and high in both groups (91.9% in nonpermanent vs.
90.1% in permanent AF).
Conclusion.
This is the first study to provide necessary information for the understanding of the current clinical practice in dealing with TMVR patients.
Since evidence suggests that AF is not a benign concomitant disease, further investigations are needed to assess the prognostic impact of these different AF treatment strategies.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Waechter, Christian& Ausbuettel, Felix& Chatzis, Georgios& Fischer, Dieter& Nef, Holger& Barth, Sebastian…[et al.]. 2020. Analysis of Atrial Fibrillation Treatment Regimes in a Multicenter Cohort of Transcatheter Edge-to-Edge Mitral Valve Repair Patients. Journal of Interventional Cardiology،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1187835
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Waechter, Christian…[et al.]. Analysis of Atrial Fibrillation Treatment Regimes in a Multicenter Cohort of Transcatheter Edge-to-Edge Mitral Valve Repair Patients. Journal of Interventional Cardiology No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1187835
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Waechter, Christian& Ausbuettel, Felix& Chatzis, Georgios& Fischer, Dieter& Nef, Holger& Barth, Sebastian…[et al.]. Analysis of Atrial Fibrillation Treatment Regimes in a Multicenter Cohort of Transcatheter Edge-to-Edge Mitral Valve Repair Patients. Journal of Interventional Cardiology. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1187835
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1187835
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر