Key result
Atrial fibrillation shows no link to higher in-hospital mortality in acute decompensated heart failure.
Why the study?
The impact of atrial fibrillation on in-hospital outcomes in acute decompensated heart failure is controversial.
Does the presence of atrial fibrillation worsen in-hospital outcomes in patients hospitalized with acute decompensated heart failure?
Population
1,606 hospitalized patients with ADHF in Turkey
Comparison
ADHF with AF vs ADHF without AF
Design
Multicenter observational study
Authors
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May not warrant AF-targeted interventions to reduce in-hospital mortality in ADHF; leaves open effects on other endpoints or longer-term outcomes.
Observational (n=1,606)
Yes
Does the presence of atrial fibrillation worsen in-hospital outcomes in patients hospitalized with acute decompensated heart failure?
Absolute Event Rate: 8.9% vs 6.8%
p-value: p=0.121
In patients hospitalized with acute decompensated heart failure, the presence of atrial fibrillation is common but does not significantly increase in-hospital mortality or adverse events.
Umut Kocabaş (2020) conducted an observational in Acute decompensated heart failure (n=1,606). Atrial fibrillation vs. Without atrial fibrillation was evaluated on In-hospital all-cause mortality (p=0.121). Atrial fibrillation in patients hospitalized with acute decompensated heart failure was not associated with a significant increase in in-hospital all-cause mortality (8.9% vs. 6.8%; p=0.121).
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