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Pages 155-161 (March 2018)

Original article
Mortality and Atrial Fibrillation in the FIACA Study: Evidence of a Differential Effect According to Admission Diagnosis

Mortalidad y fibrilación auricular en el estudio FIACA: evidencia de un efecto diferencial según el diagnóstico al ingreso hospitalario

Francisco Guillermo Clavel-Ruipéreza 1Luciano Consuegra-Sáncheza 1Francisco Javier Félix RedondobLuis Lozano Merab cPedro Mellado-DelgadobJuan José Martínez-DíazaJosé Ramón López MínguezdDaniel Fernández-Bergésb

a Servicio de Cardiología, Hospital General Universitario Santa Lucía, Cartagena, Murcia, Spain

b Unidad de Investigación, Programa de Investigación en Enfermedades Cardiovasculares PERICLES, Servicio Extremeño de Salud, Área de Salud Don Benito-Villanueva, Villanueva de la Serena, Badajoz, Spain

c Centro de Salud Urbano I, Servicio Extremeño de Salud, Mérida, Badajoz, Spain

d Unidad de Hemodinámica, Servicio de Cardiología, Hospital Universitario Infanta Cristina, Badajoz, Spain

Received on 29 November 2016

Accepted on 9 March 2017

Atrial Fibrillation: A Riddle Wrapped in a Mystery Inside an Enigma

Rev Esp Cardiol. 2018;71:139-4010.1016/j.rec.2017.06.009

Claire Alexandra Lawson, Mamas Andreas Mamas

https://doi.org/10.1016/j.rec.2017.03.026

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Table 1

Table 2

Table 3

Table 4

Table 5

Statistics

1728 Total PDF

5146 Total HTML

Year/month	Html	Pdf	Total
2024 October	1	0	1
2024 August	103	45	148
2024 July	81	13	94
2024 July	59	21	80
2024 May	48	19	67
2024 May	62	35	97
2024 March	70	32	102
2024 March	50	18	68
2024 January	52	18	70
2023 December	84	23	107
2023 December	66	22	88
2023 October	59	65	124
2023 October	51	13	64
2023 August	46	17	63
2023 July	64	23	87
2023 July	66	15	81
2023 May	121	18	139
2023 May	84	21	105
2023 March	83	16	99
2023 March	107	17	124
2023 January	94	29	123
2022 December	75	19	94
2022 December	103	24	127
2022 October	95	33	128
2022 October	81	26	107
2022 August	61	29	90
2022 July	55	39	94
2022 July	59	24	83
2022 May	83	27	110
2022 May	59	24	83
2022 March	69	36	105
2022 March	69	27	96
2022 January	69	30	99
2021 December	55	25	80
2021 December	59	41	100
2021 October	65	34	99
2021 October	41	22	63
2021 August	47	41	88
2021 July	82	28	110
2021 July	77	19	96
2021 May	94	29	123
2021 May	138	49	187
2021 March	125	30	155
2021 March	75	16	91
2021 January	113	27	140
2020 December	112	34	146
2020 December	72	21	93
2020 October	85	28	113
2020 October	55	13	68
2020 August	58	24	82
2020 July	107	13	120
2020 July	106	24	130
2020 May	96	32	128
2020 May	64	25	89
2020 March	66	28	94
2020 March	79	16	95
2020 January	62	19	81
2019 December	122	12	134
2019 December	66	18	84
2019 October	71	22	93
2019 October	91	40	131
2019 August	55	10	65
2019 July	103	26	129
2019 July	43	25	68
2019 May	63	19	82
2019 May	69	31	100
2019 March	80	25	105
2019 March	89	31	120
2019 January	20	11	31
2018 May	1	0	1
2018 March	10	2	12
2018 March	1	0	1

Abstract

Introduction and objectives

Atrial fibrillation (AF) is an independent risk factor for mortality in several diseases. However, data published in acute decompensated heart failure (DHF) are contradictory. Our objective was to investigate the impact of AF on mortality in patients admitted to hospital for DHF compared with those admitted for other reasons.

Methods

This retrospective cohort study included all patients admitted to hospital within a 10-year period due to DHF, acute myocardial infarction (AMI), or ischemic stroke (IS), with a median follow-up of 6.2 years.

Results

We included 6613 patients (74 ± 11 years; 54.6% male); 2177 with AMI, 2208 with DHF, and 2228 with IS. Crude postdischarge mortality was higher in patients with AF hospitalized for AMI (incident rate ratio, 2.48; P < .001) and IS (incident rate ratio, 1.84; P < .001) than in those without AF. No differences were found in patients with DHF (incident rate ratio, 0.90; P = .12). In adjusted models, AF was not an independent predictor of in-hospital mortality by clinical diagnosis. However, AF emerged as an independent predictor of postdischarge mortality in patients with AMI (HR, 1.494; P = .001) and IS (HR, 1.426; P < .001), but not in patients admitted for DHF (HR, 0.964; P = .603).

Conclusions

AF was as an independent risk factor for postdischarge mortality in patients admitted to hospital for AMI and IS but not in those admitted for DHF.

Keywords

Atrial fibrillation

Prognosis

Heart failure

Acute myocardial infarction

Ischemic stroke

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https://doi.org/10.1016/j.rec.2017.03.026

Lea este artículo en español

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Other articles of interest

Figure

Table 1

Table 2

Table 3

Table 4

Table 5

Statistics

1728 Total PDF

5146 Total HTML

Year/month	Html	Pdf	Total
2024 October	1	0	1
2024 August	103	45	148
2024 July	81	13	94
2024 July	59	21	80
2024 May	48	19	67
2024 May	62	35	97
2024 March	70	32	102
2024 March	50	18	68
2024 January	52	18	70
2023 December	84	23	107
2023 December	66	22	88
2023 October	59	65	124
2023 October	51	13	64
2023 August	46	17	63
2023 July	64	23	87
2023 July	66	15	81
2023 May	121	18	139
2023 May	84	21	105
2023 March	83	16	99
2023 March	107	17	124
2023 January	94	29	123
2022 December	75	19	94
2022 December	103	24	127
2022 October	95	33	128
2022 October	81	26	107
2022 August	61	29	90
2022 July	55	39	94
2022 July	59	24	83
2022 May	83	27	110
2022 May	59	24	83
2022 March	69	36	105
2022 March	69	27	96
2022 January	69	30	99
2021 December	55	25	80
2021 December	59	41	100
2021 October	65	34	99
2021 October	41	22	63
2021 August	47	41	88
2021 July	82	28	110
2021 July	77	19	96
2021 May	94	29	123
2021 May	138	49	187
2021 March	125	30	155
2021 March	75	16	91
2021 January	113	27	140
2020 December	112	34	146
2020 December	72	21	93
2020 October	85	28	113
2020 October	55	13	68
2020 August	58	24	82
2020 July	107	13	120
2020 July	106	24	130
2020 May	96	32	128
2020 May	64	25	89
2020 March	66	28	94
2020 March	79	16	95
2020 January	62	19	81
2019 December	122	12	134
2019 December	66	18	84
2019 October	71	22	93
2019 October	91	40	131
2019 August	55	10	65
2019 July	103	26	129
2019 July	43	25	68
2019 May	63	19	82
2019 May	69	31	100
2019 March	80	25	105
2019 March	89	31	120
2019 January	20	11	31
2018 May	1	0	1
2018 March	10	2	12
2018 March	1	0	1

REVISTA ESPAÑOLA DE
CARDIOLOGÍA

Original article
Mortality and Atrial Fibrillation in the FIACA Study: Evidence of a Differential Effect According to Admission Diagnosis

Mortalidad y fibrilación auricular en el estudio FIACA: evidencia de un efecto diferencial según el diagnóstico al ingreso hospitalario

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Original article Mortality and Atrial Fibrillation in the FIACA Study: Evidence of a Differential Effect According to Admission Diagnosis

Mortalidad y fibrilación auricular en el estudio FIACA: evidencia de un efecto diferencial según el diagnóstico al ingreso hospitalario

Table of contents

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Keywords

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Original article
Mortality and Atrial Fibrillation in the FIACA Study: Evidence of a Differential Effect According to Admission Diagnosis