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Management of patients with atrial fibrillation by primary-care physicians in Germany: 1-year results of the ATRIUM registry

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Management of patients with atrial fibrillation by primary-care physicians in Germany: 1-year results of the ATRIUM registry. / Kirchhof, Paulus; Schmalowsky, Janine; Pittrow, David; Rosin, Ludger; Kirch, Wilhelm; Wegscheider, Karl; Meinertz, Thomas; ATRIUM Study Group.

In: CLIN CARDIOL, Vol. 37, No. 5, 2014, p. 277-84.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Kirchhof, P, Schmalowsky, J, Pittrow, D, Rosin, L, Kirch, W, Wegscheider, K, Meinertz, T & ATRIUM Study Group 2014, 'Management of patients with atrial fibrillation by primary-care physicians in Germany: 1-year results of the ATRIUM registry', CLIN CARDIOL, vol. 37, no. 5, pp. 277-84. https://doi.org/10.1002/clc.22272

APA

Kirchhof, P., Schmalowsky, J., Pittrow, D., Rosin, L., Kirch, W., Wegscheider, K., Meinertz, T., & ATRIUM Study Group (2014). Management of patients with atrial fibrillation by primary-care physicians in Germany: 1-year results of the ATRIUM registry. CLIN CARDIOL, 37(5), 277-84. https://doi.org/10.1002/clc.22272

Vancouver

Kirchhof P, Schmalowsky J, Pittrow D, Rosin L, Kirch W, Wegscheider K et al. Management of patients with atrial fibrillation by primary-care physicians in Germany: 1-year results of the ATRIUM registry. CLIN CARDIOL. 2014;37(5):277-84. https://doi.org/10.1002/clc.22272

Bibtex

@article{9b7b14a919d14ae28dd67a2b0c7e0d68,
title = "Management of patients with atrial fibrillation by primary-care physicians in Germany: 1-year results of the ATRIUM registry",
abstract = "BACKGROUND: Patients with atrial fibrillation (AF) in Germany are often managed jointly by primary-care physicians in cooperation with cardiologists. We aimed to investigate the management and 1-year outcomes of AF patients in this setting.HYPOTHESIS: We set out to describe the current management of AF patients in primary care settings in Germany.METHODS: Observational registry with 1-year follow-up, performed by a representative, randomly selected sample of 781 primary-care physicians in Germany.RESULTS: Of 3781 patients with electrocardiographically documented AF, 3163 patients (age 71.9 ± 9.2 years, 57.9% males) were followed for 1 year; 28.4% had paroxysmal, 27.0% persistent, and 43.3% permanent AF. Comorbid conditions were common (mean CHA2 DS2-VASc score 3. 8 ± 1.7). Rhythm-control therapy was used in 16.4%. Although oral anticoagulation was often used (82.7% at baseline), stroke rate during follow-up was high (2.7% stroke, 3.0% transient ischemic attack). Despite a long duration of AF (mean duration 61 months at enrollment), 18.5% of patients were hospitalized during the 1-year follow-up.CONCLUSIONS: In this unselected group of patients with long-standing AF managed in primary care, hospitalizations and cardiovascular complications including strokes are frequent, illustrating the need to improve management of AF patients.",
keywords = "Aged, Aged, 80 and over, Anticoagulants, Atrial Fibrillation, Cohort Studies, Electrocardiography, Female, Follow-Up Studies, Germany, Hospitalization, Humans, Male, Middle Aged, Physicians, Primary Care, Prognosis, Prospective Studies, Registries, Risk Factors, Treatment Outcome",
author = "Paulus Kirchhof and Janine Schmalowsky and David Pittrow and Ludger Rosin and Wilhelm Kirch and Karl Wegscheider and Thomas Meinertz and {ATRIUM Study Group}",
note = "{\textcopyright} 2014 Wiley Periodicals, Inc.",
year = "2014",
doi = "10.1002/clc.22272",
language = "English",
volume = "37",
pages = "277--84",
journal = "CLIN CARDIOL",
issn = "0160-9289",
publisher = "John Wiley and Sons Inc.",
number = "5",

}

RIS

TY - JOUR

T1 - Management of patients with atrial fibrillation by primary-care physicians in Germany: 1-year results of the ATRIUM registry

AU - Kirchhof, Paulus

AU - Schmalowsky, Janine

AU - Pittrow, David

AU - Rosin, Ludger

AU - Kirch, Wilhelm

AU - Wegscheider, Karl

AU - Meinertz, Thomas

AU - ATRIUM Study Group

N1 - © 2014 Wiley Periodicals, Inc.

PY - 2014

Y1 - 2014

N2 - BACKGROUND: Patients with atrial fibrillation (AF) in Germany are often managed jointly by primary-care physicians in cooperation with cardiologists. We aimed to investigate the management and 1-year outcomes of AF patients in this setting.HYPOTHESIS: We set out to describe the current management of AF patients in primary care settings in Germany.METHODS: Observational registry with 1-year follow-up, performed by a representative, randomly selected sample of 781 primary-care physicians in Germany.RESULTS: Of 3781 patients with electrocardiographically documented AF, 3163 patients (age 71.9 ± 9.2 years, 57.9% males) were followed for 1 year; 28.4% had paroxysmal, 27.0% persistent, and 43.3% permanent AF. Comorbid conditions were common (mean CHA2 DS2-VASc score 3. 8 ± 1.7). Rhythm-control therapy was used in 16.4%. Although oral anticoagulation was often used (82.7% at baseline), stroke rate during follow-up was high (2.7% stroke, 3.0% transient ischemic attack). Despite a long duration of AF (mean duration 61 months at enrollment), 18.5% of patients were hospitalized during the 1-year follow-up.CONCLUSIONS: In this unselected group of patients with long-standing AF managed in primary care, hospitalizations and cardiovascular complications including strokes are frequent, illustrating the need to improve management of AF patients.

AB - BACKGROUND: Patients with atrial fibrillation (AF) in Germany are often managed jointly by primary-care physicians in cooperation with cardiologists. We aimed to investigate the management and 1-year outcomes of AF patients in this setting.HYPOTHESIS: We set out to describe the current management of AF patients in primary care settings in Germany.METHODS: Observational registry with 1-year follow-up, performed by a representative, randomly selected sample of 781 primary-care physicians in Germany.RESULTS: Of 3781 patients with electrocardiographically documented AF, 3163 patients (age 71.9 ± 9.2 years, 57.9% males) were followed for 1 year; 28.4% had paroxysmal, 27.0% persistent, and 43.3% permanent AF. Comorbid conditions were common (mean CHA2 DS2-VASc score 3. 8 ± 1.7). Rhythm-control therapy was used in 16.4%. Although oral anticoagulation was often used (82.7% at baseline), stroke rate during follow-up was high (2.7% stroke, 3.0% transient ischemic attack). Despite a long duration of AF (mean duration 61 months at enrollment), 18.5% of patients were hospitalized during the 1-year follow-up.CONCLUSIONS: In this unselected group of patients with long-standing AF managed in primary care, hospitalizations and cardiovascular complications including strokes are frequent, illustrating the need to improve management of AF patients.

KW - Aged

KW - Aged, 80 and over

KW - Anticoagulants

KW - Atrial Fibrillation

KW - Cohort Studies

KW - Electrocardiography

KW - Female

KW - Follow-Up Studies

KW - Germany

KW - Hospitalization

KW - Humans

KW - Male

KW - Middle Aged

KW - Physicians, Primary Care

KW - Prognosis

KW - Prospective Studies

KW - Registries

KW - Risk Factors

KW - Treatment Outcome

U2 - 10.1002/clc.22272

DO - 10.1002/clc.22272

M3 - SCORING: Journal article

C2 - 24652779

VL - 37

SP - 277

EP - 284

JO - CLIN CARDIOL

JF - CLIN CARDIOL

SN - 0160-9289

IS - 5

ER -