医学
心房颤动
四分位间距
急诊科
回顾性队列研究
内科学
急性冠脉综合征
共病
心房颤动的处理
心悸
心脏复律
儿科
急诊医学
心脏病学
心肌梗塞
精神科
作者
Francesco Buccelletti,Salvatore Di Somma,Paolo Iacomini,Alberto Galante,Francesco Pugliese,Filippo Alegiani,Giuliano Bertazzoni,Davide Marsiliani,Annarita Carroccia,Antonio Granato,Giuseppe Calabrò,Legramante Jm,Giuseppe Zuccalà,Francesco Franceschi
出处
期刊:PubMed
日期:2013-02-01
卷期号:17 Suppl 1: 22-7
被引量:5
摘要
The Cardioversion of Atrial Fibrillation in Emergency (CAFE) study was an observational, retrospective, multicenter study focusing on patients with recent onset atrial fibrillation (AF) seen in six different Emergency Departments (ED) of Rome, Italy.The aim of this study was to present the baseline characteristics and risk factors of the patients enrolled to the CAFE study.We retrospectively reviewed 3085 eligible patients diagnosed with recent onset AF in any of the EDs between January 2008 and December 2009. Inclusion criteria required documented ICD-9 primary discharge/admission diagnosis of AF in the ED and stable hemodynamic conditions at presentation (systolic blood pressure > 90 mmHg). Exclusion criteria were permanent AF or an ongoing acute coronary syndrome.Median age was 71 years (interquartile ranges, 62-78 years) and 50.8% were men. Palpitations was the most common symptom at ED presentation and was present in 73.5% of the study subjects. Hypertension was the most prevalent comorbidity, affecting 59.3% of the patients evaluated, and the presence of previous episode(s) of AF was also common (52.3%). Regarding home treatment, the drugs most prescribed were antiplatelets (31.2%) and diuretics (25.2%). A CHADS2 score of 0 was found in 814 patients (26.4%), while a CHADS2 score of 1 was reported in 1114 patients (36.1%). Finally, a CHADS2 score ≥ 2 was reported in 1157 patients (37.5%).The present study represents an important snapshot of demographics, comorbidities, risk factors and anticoagulation management about patients with recent onset AF. Disparities were noted in anticoagulation management, suggesting that this is still a main problem among patients with AF.
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