Clinical characteristics and in-hospital outcomes of acute decompensated heart failure patients with and without atrial fibrillation

dc.authoridZoghi, Mehdi/0000-0002-8156-2675
dc.authoridKocabas, Umut/0000-0001-6424-9399
dc.authoridOzcan Celebi, Ozlem/0000-0003-1527-6440
dc.contributor.authorKocabas, Umut
dc.contributor.authorSinan, Umit Yasar
dc.contributor.authorArugaslan, Emre
dc.contributor.authorKursun, Mustafa
dc.contributor.authorConer, Ali
dc.contributor.authorCelebi, Ozlem Ozcan
dc.contributor.authorOzturk, Cengiz
dc.date.accessioned2025-03-23T19:30:22Z
dc.date.available2025-03-23T19:30:22Z
dc.date.issued2020
dc.departmentSinop Üniversitesi
dc.description.abstractObjective: Atrial fibrillation (AF) and heart failure (HF) are common cardiovascular diseases. The impact of AF on in-hospital outcomes in acute decompensated heart failure (ADHF) is controversial. The aim of this study is to determine the prevalence of AF among hospitalized patients with ADHF and describe the clinical characteristics and in-hospital outcomes of these patients with and without AF. Methods: We examined the multicenter, observational data from the real-life data of hospitalized patients with HF: Journey HF-TR study in Turkey that studied the clinical characteristics and in-hospital outcomes of hospitalized patients with ADHF between September 2015 and September 2016. Results: Of the 1,606 patients hospitalized with ADHF, 626 (39%) had a history of AF or developed new-onset AF during hospitalization. The patients with AF were older (71 +/- 12 vs. 65 +/- 13 years; p<0.001) and more likely to have a history of hypertension, valvular heart disease, and stroke. The AF patients were less likely to have coronary artery disease and diabetes. In-hospital adverse event rates and length of in-hospital stay were similar in ADHF patients, both with and without AF. In-hospital all-cause mortality rate was higher in patients with AF than in patients without AF, although the difference was not statistically significant (8.9% vs. 6.8%; p=0.121). Conclusion: AF has been found in more than one-third of the patients hospitalized with ADHF, and it has varied clinical features and comorbidities. The presence of AF is not associated with increased adverse events or all-cause mortality during the hospitalization time.
dc.identifier.doi10.14744/AnatolJCardiol.2020.94884
dc.identifier.endpage267
dc.identifier.issn2149-2263
dc.identifier.issn2149-2271
dc.identifier.issue5
dc.identifier.pmid32352420
dc.identifier.scopusqualityQ3
dc.identifier.startpage260
dc.identifier.urihttps://doi.org/10.14744/AnatolJCardiol.2020.94884
dc.identifier.urihttps://hdl.handle.net/11486/5081
dc.identifier.volume23
dc.identifier.wosWOS:000535232600006
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherTurkish Soc Cardiology
dc.relation.ispartofAnatolian Journal of Cardiology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WOS_20250323
dc.subjectatrial fibrillation
dc.subjectheart failure
dc.subjecthospitalization
dc.subjectmortality
dc.titleClinical characteristics and in-hospital outcomes of acute decompensated heart failure patients with and without atrial fibrillation
dc.typeArticle

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