1. Asymptomatic atrial fibrillation among hospitalized patients: clinical correlates and in-hospital outcomes in Improving Care for Cardiovascular Disease in China-Atrial Fibrillation.
- Author
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Lin, Jing, Lin, Jing, Wu, Xue-Ying, Long, De-Yong, Jiang, Chen-Xi, Sang, Cai-Hua, Tang, Ri-Bo, Li, Song-Nan, Wang, Wei, Guo, Xue-Yuan, Ning, Man, Sun, Zhao-Qing, Yang, Na, Hao, Yong-Chen, Liu, Jun, Liu, Jing, Du, Xin, Smith, Sidney, Lip, Gregory, Zhao, Dong, Dong, Jian-Zeng, Ma, Chang-Sheng, Fonarow, Gregg, Lin, Jing, Lin, Jing, Wu, Xue-Ying, Long, De-Yong, Jiang, Chen-Xi, Sang, Cai-Hua, Tang, Ri-Bo, Li, Song-Nan, Wang, Wei, Guo, Xue-Yuan, Ning, Man, Sun, Zhao-Qing, Yang, Na, Hao, Yong-Chen, Liu, Jun, Liu, Jing, Du, Xin, Smith, Sidney, Lip, Gregory, Zhao, Dong, Dong, Jian-Zeng, Ma, Chang-Sheng, and Fonarow, Gregg
- Abstract
AIMS: The clinical correlates and outcomes of asymptomatic atrial fibrillation (AF) in hospitalized patients are largely unknown. We aimed to investigate the clinical correlates and in-hospital outcomes of asymptomatic AF in hospitalized Chinese patients. METHODS AND RESULTS: We conducted a cross-sectional registry study of inpatients with AF enrolled in the Improving Care for Cardiovascular Disease in China-Atrial Fibrillation Project between February 2015 and December 2019. We investigated the clinical characteristics of asymptomatic AF and the association between the clinical correlates and the in-hospital outcomes of asymptomatic AF. Asymptomatic and symptomatic AF were defined according to the European Heart Rhythm Association score. Asymptomatic patients were more commonly males (56.3%) and had more comorbidities such as hypertension (57.4%), diabetes mellitus (18.6%), peripheral artery disease (PAD; 2.3%), coronary artery disease (55.5%), previous history of stroke/transient ischaemic attack (TIA; 17.9%), and myocardial infarction (MI; 5.4%); however, they had less prevalent heart failure (9.6%) or left ventricular ejection fractions ≤40% (7.3%). Asymptomatic patients were more often hospitalized with a non-AF diagnosis as the main diagnosis and were more commonly first diagnosed with AF (23.9%) and long-standing persistent/permanent AF (17.0%). The independent determinants of asymptomatic presentation were male sex, long-standing persistent AF/permanent AF, previous history of stroke/TIA, MI, PAD, and previous treatment with anti-platelet drugs. The incidence of in-hospital clinical events such as all-cause death, ischaemic stroke/TIA, and acute coronary syndrome (ACS) was higher in asymptomatic patients than in symptomatic patients, and asymptomatic clinical status was an independent risk factor for in-hospital all-cause death, ischaemic stroke/TIA, and ACS. CONCLUSION: Asymptomatic AF is common among hospitalized patients with AF. Asymptomatic clinical sta
- Published
- 2023