Key result
Rate control dominates AF management in Saudi Arabia, with ~53% of patients achieving initial control.
Cross-Sectional (n=400)
Yes
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AF control appears incomplete in this Saudi registry; hypothesis-generating for regional strategies but should not change practice.
Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia. The Saudi Atrial Fibrillation Survey registry was designed to provide epidemiological and clinical data on patients with AF. The registry included 400 consecutive patients who met the eligibility criteria. Control of AF at the time of the initial visit was achieved by 211 (52.75%) patients. Cardiovascular risk profile of the patients with AF was smoking 92 (23.5%), hypertension 253 (63.25%), diabetes 192 (48%), and dyslipidemia 173 (44%). Rate control was the most frequent management strategy (in 265 patients, 66.2%) whereas rhythm control was chosen in 48 (12%) patients. Both strategies were attempted in 5 (1.2%) patients. This is the first nationwide registry of patients with AF in Saudi Arabia. Compared to developed countries, our patients with AF are relatively young and have higher rates of diabetes and rheumatic heart disease. Rate control is the main strategy currently used for managing AF.
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Hersi et al. (2014) conducted a cross-sectional in Atrial fibrillation (n=400). Atrial fibrillation was evaluated on Control of AF at initial visit. In a nationwide registry of 400 patients with atrial fibrillation in Saudi Arabia, rate control was the most frequent management strategy, and AF control was achieved in 52.75%.
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