ESC presents results of pilot registry on management and treatment of AF in Europe

Published on December 20, 2013 at 6:57 AM · No Comments

ESC presents preliminary results of Atrial Fibrillation General Registry

Results for a pilot registry on the management and treatment of atrial fibrillation (AF) in Europe were presented yesterday by the European Society of Cardiology (ESC). AF is the commonest cardiac rhythm disorder and each of us have a one-in-four lifetime risk of developing it. Statistics show that oral anticoagulant use has increased, but new oral anticoagulant (NOAC) use is still low. Authors also concluded that compliance with treatment guidelines for patients with the lowest and higher stroke risk scores remains suboptimal.

The EuroObservational Research Programme-Atrial Fibrillation (EORP-AF) Pilot General Registry results were published in Europace yesterday. Corresponding author and Chairman of the EORP-AF programme, Professor Gregory Lip (Birmingham, UK) said: "New guidelines on the management of AF were recently published by the ESC and we wanted to find out how clinicians were adhering to them. Our registry was a survey of their implementation as well as the uptake of catheter ablation, new antithrombotic drugs and new anti arrhythmic agents, amongst other data."

Professor Lip added: "Drug prescription patterns showed interesting changes over the last decade. Adherence to recommendations for OAC use has improved somewhat (in 80% overall), although they are significantly less used in females. Non-Vitamin K Oral Anticoagulants (NOACs) on the contrary, were used only in 8.4%, but reflected the fact that NOACs were not widely available in all countries."

For the pilot phase, nine European countries participated, with enrollment starting in February 2012 and ending in March 2013. 3119 patients with AF were enrolled, with full data on clinical subtype available for 3049 patients (40.4% female; mean age 68.8 years). Common co morbidities were hypertension, coronary disease and heart failure. Lone AF was present in only 3.9% (122 patients). Asymptomatic AF was common, particularly among those with permanent AF.

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