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Total 183 results found since Jan 2013.

Increased risk of stroke and mortality following new-onset atrial fibrillation during hospitalization
ConclusionNew-onset AF among hospitalized inpatients is independently associated with an increased incidence of stroke and mortality.
Source: Europace - May 20, 2016 Category: Cardiology Source Type: research

Ultrasound-guided cannulation of the femoral vein in electrophysiological procedures: a systematic review and meta-analysis
ConclusionThe use of real-time 2D ultrasound guidance for femoral vein cannulation decreases access-related bleeding rates and life-threatening vascular complications.
Source: Europace - May 20, 2016 Category: Cardiology Source Type: research

Cost effectiveness of LAA closure in patients with AF and contraindications to warfarin: comment
This study evaluated the costs of percutaneous left atrial appendage closure (LAAC) using the Watchman device (Boston Scientific, Marlborough, MA). As pointed out by the authors, procedures to implement percutaneous devices are associated with a 6.7% short-term risk of major complications (air embolism, major bleeding, and pericardial effusion). Moreover, the device and technical platform necessary for the procedure come at a significant cost (€9136). Despite these downsides, assuming a willingness-to-pay threshold of€30 000 per quality-adjusted life-year gained, the authors found that relative to both aspirin and apix...
Source: Europace - May 18, 2016 Category: Cardiology Source Type: research

‘Real-world’ atrial fibrillation management in Europe: observations from the 2-year follow-up of the EURObservational Research Programme-Atrial Fibrillation General Registry Pilot Phase
ConclusionIn this 2-year follow-up report from EORP-AF, mortality rates with AF remain high from cardiovascular causes, despite the high prevalent use of OAC. Improved management strategies to reduce major adverse outcomes in AF patients are needed.
Source: Europace - May 18, 2016 Category: Cardiology Source Type: research

Atrial ectopy and N-terminal pro-B-type natriuretic peptide as predictors of atrial fibrillation: a population-based cohort study
Conclusion</div>Atrial fibrillation risk discrimination was significantly improved by the addition of PAC to the Framingham AF risk model, but not by the addition of NT-proBNP.</span>
Source: Europace - May 17, 2016 Category: Cardiology Source Type: research

Substantial differences in initiation of oral anticoagulant therapy and clinical outcome among non-valvular atrial fibrillation patients treated in inpatient and outpatient settings
Conclusion In a nationwide cohort of non-valvular AF patients, outpatients were much more likely to receive OAC therapy and had a significantly lower risk of stroke/TE compared with inpatients and ED patients. However, across all settings investigated, OAC therapy was far from optimal.
Source: Europace - May 11, 2016 Category: Cardiology Authors: Mikkelsen, A. P., Hansen, M. L., Olesen, J. B., Hvidtfeldt, M. W., Karasoy, D., Husted, S., Johnsen, S. P., Brandes, A., Gislason, G., Torp-Pedersen, C., Lamberts, M. Tags: Atrial fibrillation Source Type: research

Burden of stroke and other cardiovascular complications in patients with atrial fibrillation hospitalized in France
Conclusion Half a million patients with AF were hospitalized in France in 2012. Cardiovascular-related hospitalizations involved half of these admissions, for a global burden of almost 2 billion, equivalent to 2.6% of total expenditure in French hospitals. Among these hospitalizations stroke/TIA/SE represented costly, but potentially preventable, complications.
Source: Europace - May 11, 2016 Category: Cardiology Authors: Cotte, F.-E., Chaize, G., Gaudin, A.-F., Samson, A., Vainchtock, A., Fauchier, L. Tags: Atrial fibrillation Source Type: research

Ambulatory cardiac arrhythmias in relation to mild hypokalaemia and prognosis in community dwelling middle-aged and elderly subjects
Conclusion In middle-aged and elderly subjects with no manifest heart disease, mild hypokalaemia is associated with increased rate of ventricular but not supraventricular arrhythmias. Hypokalaemia interacts synergistically with increased ventricular ectopy to increase the risk of adverse events.
Source: Europace - May 11, 2016 Category: Cardiology Authors: Mattsson, N., Sadjadieh, G., Kumarathurai, P., Nielsen, O. W., Kober, L., Sajadieh, A. Tags: Cardiac electrophysiology Source Type: research

Performance of handheld electrocardiogram devices to detect atrial fibrillation in a cardiology and geriatric ward setting
Conclusion</div>Using AliveCor or MyDiagnostick handheld recorders requires a structured screening strategy to be effective and cost-effective in a hospital setting. It must exclude patients with implanted devices and known AF, and requires targeted additional 12-lead ECGs to optimize specificity. Under these circumstances, the expenses per diagnosed new AF patient and preventable stroke are reasonable.</span>
Source: Europace - February 16, 2016 Category: Cardiology Source Type: research

A roadmap to improve the quality of atrial fibrillation management: proceedings from the fifth Atrial Fibrillation Network/European Heart Rhythm Association consensus conference
This report ends with a list of priorities for research in AF patients.
Source: Europace - February 3, 2016 Category: Cardiology Authors: Kirchhof, P., Breithardt, G., Bax, J., Benninger, G., Blomstrom-Lundqvist, C., Boriani, G., Brandes, A., Brown, H., Brueckmann, M., Calkins, H., Calvert, M., Christoffels, V., Crijns, H., Dobrev, D., Ellinor, P., Fabritz, L., Fetsch, T., Freedman, S. B., Tags: EHRA CONSENSUS STATEMENT Source Type: research

Independent data about the safety and efficacy of rivaroxaban for prevention of stroke/embolism are needed
Source: Europace - February 3, 2016 Category: Cardiology Authors: Stöllberger, C., Pommer, P., Schneider, B., Finsterer, J. Tags: LETTERS TO THE EDITOR Source Type: research

Independent data about the safety and efficacy of rivaroxaban for prevention of stroke/embolism are needed: Author reply
Source: Europace - February 3, 2016 Category: Cardiology Authors: Beyer-Westendorf, J. Tags: LETTERS TO THE EDITOR Source Type: research

Improved outcomes with European Society of Cardiology guideline-adherent antithrombotic treatment in high-risk patients with atrial fibrillation: a report from the EORP-AF General Pilot Registry
Conclusion Even in this cohort with high overall rates of oral anticoagulation use, ESC guideline-adherent antithrombotic management is associated with significantly better outcomes, including those related to mortality and TE, as well as the composite endpoint of ‘cardiovascular death, any TE or bleeding’. These contemporary observations emphasize the importance of guideline implementation, and adherence to the 2012 ESC guidelines for stroke prevention in AF.
Source: Europace - January 4, 2016 Category: Cardiology Authors: Lip, G. Y. H., Laroche, C., Popescu, M. I., Rasmussen, L. H., Vitali-Serdoz, L., Dan, G.-A., Kalarus, Z., Crijns, H. J. G. M., Oliveira, M. M., Tavazzi, L., Maggioni, A. P., Boriani, G. Tags: Atrial fibrillation Source Type: research

Management of atrial fibrillation in patients with chronic kidney disease in Europe Results of the European Heart Rhythm Association Survey
The purpose of this European Heart Rhythm (EHRA) Scientific Initiatives Committee EP Wire Survey was to assess ‘real-world’ practice in the management of patients with atrial fibrillation (AF) and chronic kidney disease (CKD) in the European Eelectrophysiology centres. Of 41 responding centres, 39 (95.1%) and 37 (90.2%) routinely evaluated renal function in AF patients at first presentation and during follow-up, respectively, but 13 centres (31.7%) re-assessed advanced CKD only at ≥1-year intervals. While the use of oral anticoagulants (OACs) in mild-to-moderate CKD patients was mostly guided by individual p...
Source: Europace - January 4, 2016 Category: Cardiology Authors: Potpara, T. S., Lenarczyk, R., Larsen, T. B., Deharo, J.-C., Chen, J., Dagres, N., Conducted by the Scientific Initiatives Committee, European Heart Rhythm Association, Conducted by the Scientific Initiatives Committee, European Heart Rhythm Association, Tags: EP WIRE Source Type: research

Left atrial appendage closure to prevent stroke in patients with atrial fibrillation: a call for the heart team approach
Source: Europace - January 4, 2016 Category: Cardiology Authors: Salzberg, S. P., Grunenfelder, J., Emmert, M. Y. Tags: LETTERS TO THE EDITOR Source Type: research