Synapse
⌘+K
Synapse
PulseExploreJournal ClubResearchersJournals
Instagram
HomeJournal ClubExplore
May 6, 2022European Journal of Internal MedicineOpen Access

Impact of diabetes on the management and outcomes in atrial fibrillation: an analysis from the ESC-EHRA EORP-AF Long-Term General Registry

View Full Paper
Ask AI
Bookmark
Share

Why the study?

The prevalence of atrial fibrillation and diabetes mellitus is rising to epidemic proportions, but the impact of diabetes on the management and outcomes of patients with AF required assessment.

Does diabetes worsen clinical outcomes, quality of life, and healthcare resource utilization in patients with atrial fibrillation?

Population

11,028 patients with AF across 27 European countries

Comparison

Patients with diabetes vs those without diabetes

Design

Prospective observational registry from 250 centres

Follow-up

Median 24 months

Key result

In patients with atrial fibrillation, diabetes was an independent risk factor for major adverse cardiovascular events (HR 1.26; 95% CI 1.04-1.52), all-cause mortality, and cardiovascular mortality.

Authors

WDWern Yew DingAKAgnieszka KotalczykGBGiuseppe Boriani

Discussion

Loading...

Member takes

Overview

Supports closer monitoring in diabetic AF patients; leaves open whether glycemic control alters prognosis.

Study Design

Type

Observational (n=11,028)

Multicenter

Yes

Structured PICO

Does diabetes worsen clinical outcomes, quality of life, and healthcare resource utilization in patients with atrial fibrillation?

P
Population
11,028 patients with atrial fibrillation across 27 European countries, of whom 23.0% had diabetes, followed for a median of 24 months.
E
Exposure
Presence of diabetes mellitus
C
Comparator
Absence of diabetes mellitus
O
Outcome
Rhythm control interventions, quality of life, healthcare resource utilisation, and major adverse eventshard clinical

Main Result

Hazard Ratio: 1.26 (95% CI 1.04–1.52)

In patients with atrial fibrillation, concomitant diabetes is associated with worse quality of life, higher healthcare resource utilization, and an increased risk of major adverse cardiovascular events and mortality.

Cite This Study

Ding et al. (2022) conducted an observational in Atrial fibrillation (n=11,028). Diabetes mellitus vs. No diabetes was evaluated on Major adverse cardiovascular event (MACE) (HR 1.26, 95% CI 1.04-1.52). In patients with atrial fibrillation, diabetes was an independent risk factor for major adverse cardiovascular events (HR 1.26; 95% CI 1.04-1.52), all-cause mortality, and cardiovascular mortality.

synapsesocial.com/papers/6a97153e2af794539aa6d0cbhttps://doi.org/10.1016/j.ejim.2022.04.026
View Full Paper
Ask AI
Bookmark
Share