The effect of treatment strategy on long-term follow-up results in patients with nonvalvular atrial fibrillation in Turkey: AFTER-2 subgroup analysis

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dc.contributor.authorKilic, Raif
dc.contributor.authorGuzel, Tuncay
dc.contributor.authorAktan, Adem
dc.contributor.authorDemir, Muhammed
dc.contributor.authorArslan, Bayram
dc.contributor.authorErtas, Faruk
dc.date.accessioned2024-04-24T16:10:39Z
dc.date.available2024-04-24T16:10:39Z
dc.date.issued2023
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground We performed a subanalysis of the data from the AFTER-2 registry. In our study, we aimed to compare the long-term follow-up results of nonvalvular atrial fibrillation (NVAF) patients in Turkey according to their treatment strategies. Methods All consecutive patients older than 18 years of age who presented to cardiology outpatient clinics, had at least one AF attack and did not have rheumatic mitral valve stenosis or prosthetic heart valve disease were included in our prospective study. The patients were divided into two groups as rhythm control and rate control. Stroke, hospitalization and death rates were compared between the groups. Results A total of 2592 patients from 35 centers were included in the study. Of these patients, 628 (24.2%) were in the rhythm control group and 1964 (75.8%) in the rate control group. New-onset ischemic cerebrovascular disease or transient ischemic attack (CVD/TIA) was detected at a lower rate in the rhythm control group (3.2% vs. 6.2% p = 0.004). However, there was no significant difference in one-year and five-year mortality rates (9.6% versus 9.0%, p = 0.682 and 31.8% versus 28.6%, p = 0.116, respectively). Hospitalization were found to be significantly higher in patients with rhythm control group (18% vs. 13%, p = 0.002). Conclusion It was found that rhythm control strategy is preferred in AF patients in Turkey. We found a lower rate of ischemic CVD/TIA in patients in the rhythm control group. Although no difference was observed in mortality rates, we found a higher rate of hospitalization in the rhythm control group.en_US
dc.identifier.doi10.1007/s40520-023-02467-y
dc.identifier.endpage1704en_US
dc.identifier.issn1594-0667
dc.identifier.issn1720-8319
dc.identifier.issue8en_US
dc.identifier.pmid37329474
dc.identifier.scopus2-s2.0-85162062299
dc.identifier.scopusqualityQ1
dc.identifier.startpage1695en_US
dc.identifier.urihttps://doi.org/10.1007/s40520-023-02467-y
dc.identifier.urihttps://hdl.handle.net/11468/14998
dc.identifier.volume35en_US
dc.identifier.wosWOS:001009383100001
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofAging Clinical and Experimental Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectArrhythmiaen_US
dc.subjectAtrial Fibrillationen_US
dc.subjectIschaemic Strokeen_US
dc.titleThe effect of treatment strategy on long-term follow-up results in patients with nonvalvular atrial fibrillation in Turkey: AFTER-2 subgroup analysisen_US
dc.titleThe effect of treatment strategy on long-term follow-up results in patients with nonvalvular atrial fibrillation in Turkey: AFTER-2 subgroup analysis
dc.typeArticleen_US

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