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Verfasst von:Sawhney, Jitendra [VerfasserIn]   i
 Kothiwale, Veerappa A. [VerfasserIn]   i
 Bisne, Vikas [VerfasserIn]   i
 Durgaprasad, Rajashekhar [VerfasserIn]   i
 Jadhav, Praveen [VerfasserIn]   i
 Chopda, Manoj [VerfasserIn]   i
 Vanajakshamma, Velam [VerfasserIn]   i
 Meena, Ramdhan [VerfasserIn]   i
 Vijayaraghavan, Govindan [VerfasserIn]   i
 Chawla, Kamaldeep [VerfasserIn]   i
 Allu, Jagan [VerfasserIn]   i
 Pieper, Karen S. [VerfasserIn]   i
 John Camm, A. [VerfasserIn]   i
 Kakkar, Ajay K. [VerfasserIn]   i
 Hacke, Werner [VerfasserIn]   i
Titel:Risk profiles and one-year outcomes of patients with newly diagnosed atrial fibrillation in India
Titelzusatz:Insights from the GARFIELD-AF registry
Verf.angabe:Jitendra PS. Sawhney, Veerappa A. Kothiwale, Vikas Bisne, Rajashekhar Durgaprasad, Praveen Jadhav, Manoj Chopda, Velam Vanajakshamma, Ramdhan Meena, Govindan Vijayaraghavan, Kamaldeep Chawla, Jagan Allu, Karen S. Pieper, A. John Camm, Werner Hacke, Ajay K. Kakkar, for the GARFIELD-AF Investigators [plus 2991 collaborators]
E-Jahr:2018
Jahr:12 September 2018
Umfang:8 S.
Fussnoten:Gesehen am 23.04.2020
Titel Quelle:Enthalten in: Indian heart journal
Ort Quelle:[Erscheinungsort nicht ermittelbar] : Elsevier, 1993
Jahr Quelle:2018
Band/Heft Quelle:70(2018), 6, Seite 828-835
Abstract:Background: The Global Anticoagulant Registry in the FIELD-Atrial Fibrillation (GARFIELD-AF) is an ongoing prospective noninterventional registry, which is providing important information on the baseline characteristics, treatment patterns, and 1-year outcomes in patients with newly diagnosed non-valvular atrial fibrillation (NVAF). This report describes data from Indian patients recruited in this registry. Methods and results: A total of 52,014 patients with newly diagnosed AF were enrolled globally; of these, 1388 patients were recruited from 26 sites within India (2012-2016). In India, the mean age was 65.8 years at diagnosis of NVAF. Hypertension was the most prevalent risk factor for AF, present in 68.5% of patients from India and in 76.3% of patients globally (P < 0.001). Diabetes and coronary artery disease (CAD) were prevalent in 36.2% and 28.1% of patients as compared with global prevalence of 22.2% and 21.6%, respectively (P < 0.001 for both). Antiplatelet therapy was the most common antithrombotic treatment in India. With increasing stroke risk, however, patients were more likely to receive oral anticoagulant therapy [mainly vitamin K antagonist (VKA)], but average international normalized ratio (INR) was lower among Indian patients [median INR value 1.6 (interquartile range {IQR}: 1.3-2.3) versus 2.3 (IQR 1.8-2.8) (P < 0.001)]. Compared with other countries, patients from India had markedly higher rates of all-cause mortality [7.68 per 100 person-years (95% confidence interval 6.32-9.35) vs 4.34 (4.16-4.53), P < 0.0001], while rates of stroke/systemic embolism and major bleeding were lower after 1 year of follow-up. Conclusion: Compared to previously published registries from India, the GARFIELD-AF registry describes clinical profiles and outcomes in Indian patients with AF of a different etiology. The registry data show that compared to the rest of the world, Indian AF patients are younger in age and have more diabetes and CAD. Patients with a higher stroke risk are more likely to receive anticoagulation therapy with VKA but are underdosed compared with the global average in the GARFIELD-AF. Clinical trial registration: URL - http://www.clinicaltrials.gov. Unique identifier: NCT01090362.
DOI:doi:10.1016/j.ihj.2018.09.001
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1016/j.ihj.2018.09.001
 Volltext: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306365/
 DOI: https://doi.org/10.1016/j.ihj.2018.09.001
Datenträger:Online-Ressource
Sprache:eng
K10plus-PPN:1695828364
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