Key result
Warfarin therapy in AF is associated with prevalent comorbidities including ~23% CHF.
Why the study?
Patients with atrial fibrillation on warfarin therapy face increased morbidity and mortality, but data examining this population in Jordan are limited.
What are the characteristics, symptoms, and 12-month outcomes of patients with atrial fibrillation on warfarin in Jordan?
Cohort (n=645)
Yes
What are the characteristics, symptoms, and 12-month outcomes of patients with atrial fibrillation on warfarin in Jordan?
In a Jordanian cohort of atrial fibrillation patients on warfarin, palpitations and shortness of breath were common symptoms, and major bleeding was the most frequent bleeding complication over 12 months.
Real-world comorbidity data from a Jordanian AF cohort on warfarin informs local care; extends limited regional evidence while leaving outcome associations open.
(1) Background: Most patients with atrial fibrillation, on warfarin therapy, are at higher risk of morbidity and mortality. However, data targeting patients with atrial fibrillation, who take warfarin therapy, are limited in Jordan. This study aimed to provide in-depth analysis of a cohort of patients with atrial fibrillation on warfarin regarding patients’ characteristics, atrial fibrillation related symptoms, interventions, comorbidities, and 12-months outcomes. (2) Methods: The study enrolled 645 patients with atrial fibrillation, on warfarin, from 28 health settings across Jordan. Standardized clinical data form was utilized to collect data upon enrollment, at one, six, and 12 months post initial assessment. Descriptive statistics were used for the description of variables. (3) Results: The most commonly reported symptoms were palpitation (41.4%) shortness of breath (39.1%) and fatigue (26.2%). The prevalent comorbidities associated with atrial fibrillation were congestive heart failure (22.5%), valvular heart diseases (16.6%), and cerebral vascular accident (16.3%). The embolic (32.4%) and thrombotic cerebral vascular accident (16.2%) were the most common type. Major bleeding associated with hospitalization was the most frequent type of bleeding (10 out of 24). (4) Conclusions: Jordanians, using anticoagulation, need to be constantly monitored in terms of their characteristics, symptoms, and any potential complications, to ensure its optimal therapeutic dose and prevent any potential health complications.
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Al‐Shatanawi et al. (2024) conducted a cohort in Atrial Fibrillation (n=645). Warfarin was evaluated on Patients' characteristics, atrial fibrillation related symptoms, interventions, comorbidities, and 12-months outcomes. Warfarin therapy in 645 Jordanian patients with atrial fibrillation was associated with prevalent comorbidities including congestive heart failure (22.5%) and valvular heart diseases (16.6%).
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