What does this research mean for the field?

In a large contemporary cohort outside North America and Europe, the prevalence, incidence, and outcomes of non-valvular atrial fibrillation are comparable to Western populations, but adherence to anticoagulation treatment recommendations remains low. Novelty: ClaimNovelty.CONFIRMATORY. Consensus alignment: ConsensusAlignment.SUPPORTS_CONSENSUS.

January 5, 2015Journal of the American Heart AssociationOpen Access

Prospective National Study of the Prevalence, Incidence, Management and Outcome of a Large Contemporary Cohort of Patients With Incident Non‐Valvular Atrial Fibrillation

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Structured PICO

Population

98,811 adults who developed new non-valvular atrial fibrillation between 2004-2012 (from a database of 2,420,000 adults), mean age ~72, 50% women, 46% with cardiovascular disease, 6% with prior stroke.

Outcome

Prevalence, incidence, management (warfarin use and time in therapeutic range), and outcomes (ischemic stroke and death)hard clinical

This large national cohort study highlights a significant gap in stroke prevention for patients with incident non-valvular atrial fibrillation, demonstrating low rates of persistent warfarin use and suboptimal time in therapeutic range.

Discussion

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Implication

Highlights gaps in real-world AF anticoagulation; leaves open optimal strategies to improve persistence and outcomes.

Cite This Study

Haim et al. (2015) studied this question.

synapsesocial.com/papers/6a1d49feba3016ff712f624f https://doi.org/10.1161/jaha.114.001486

Topics

Atrial fibrillation Persistent AF management Anticoagulation in AF AF ablation outcomes

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Prospective National Study of the Prevalence, Incidence, Management and Outcome of a Large Contemporary Cohort of Patients With Incident Non‐Valvular Atrial Fibrillation

Structured PICO

Discussion

Implication

Cite This Study

Topics

Prospective National Study of the Prevalence, Incidence, Management and Outcome of a Large Contemporary Cohort of Patients With Incident Non‐Valvular Atrial Fibrillation

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

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