Please login or register to print this page.

Clinical Articles, Lead Article

AF INADEQUATELY TREATED IN PRIMARY CARE

Patients with atrial fibrillation (AF) treated with primary care therapies often do not stabilise sufficiently to keep them out of hospital, despite treatment conforming to guidelines, according to a study1 published recently in Clinical Research in Cardiology.

Researchers examined data from the prospective ATRIUM (Outpatient Registry Upon Morbidity of Atrial Fibrillation) study on 3,667 patients with AF, seen by a random sample of primary care physicians in Germany.

The authors note that in ATRIUM, almost all patients received antithrombotic therapy (92.5%), suggesting that stroke prevention was a firmly established therapeutic goal in the primary care setting. Furthermore, over 70% of patients with an evidence-based indication for oral anticoagulation received such therapy, a high proportion compared to other surveys.

46% of patients underwent cardioversion in the year prior to enrollment. Half of all cardioversions were achieved by drugs – a higher rate than in several other notable studies.  Electrical cardioversion was also relatively frequent in ATRIUM, the authors claim – 22% in the total AF cohort.

Despite this a high proportion (44%) of the patients were found to have been hospitalised in the year prior to enrollment in the study.  The authors conclude that despite an impressive overall level of antithrombotic management, as well as the guideline-conforming therapy often received by patients in primary care, the therapies applied do not stabilise patients sufficiently to keep them out of hospital.

References

1 Meinertz T, Kirch W, Rosin L, Pittrow D, Willich SN, Kirchhof P,  for the ATRIUM investigators.  Management of atrial fibrillation by primary care physicians in Germany: baseline results of the ATRIUM registry. Clin Res Cardiol 2011; DOI: 10.1007/s00392-011-0320-5.

Published on: June 8, 2011

Members Area

Log in or Register now.

 For healthcare professionals only
Angina book sky

SEARCH THE SITE

RSS FEED

Subscribe to our RSS feed
home

GET EXCLUSIVE UPDATES

Sign up for our regular email newsletters & be the first to know about fresh articles and site updates.

RECENT COMMENTS

    None Found

ENDORSED BY

  • ArrhythmiaAlliance
  • Stars
  • Anticoagulation Europe
  • Atrial Fibrillation Association
 

You are not logged in

You need to be a member to print this page.
Sign up for free membership, or log in.

You are not logged in

You need to be a member to download PDF's.
Sign up for free membership, or log in.