Management of Patients With Atrial Fibrillation by Primary‐Care Physicians in Germany: 1‐Year Results of the ATRIUM Registry
Open accessAbstract
BACKGROUND: Patients with atrial fibrillation (AF) in Germany are often managed jointly by primary-care physicians in cooperation with cardiologists. We aimed to investigate the management and 1-year outcomes of AF patients in this setting. HYPOTHESIS: We set out to describe the current management of AF patients in primary care settings in Germany. METHODS: Observational registry with 1-year follow-up, performed by a representative, randomly selected sample of 781 primary-care physicians in Germany. RESULTS: Of 3781 patients with electrocardiographically documented AF, 3163 patients (age 71.9 ± 9.2 years, 57.9% males) were followed for 1 year; 28.4% had paroxysmal, 27.0% persistent, and 43.3% permanent AF. Comorbid conditions were common (mean CHA2 DS2-VASc score 3. 8 ± 1.7). Rhythm-control therapy was used in 16.4%. Although oral anticoagulation was often used (82.7% at baseline), stroke rate during follow-up was high (2.7% stroke, 3.0% transient ischemic attack). Despite a long duration of AF (mean duration 61 months at enrollment), 18.5% of patients were hospitalized during the 1-year follow-up. CONCLUSIONS: In this unselected group of patients with long-standing AF managed in primary care, hospitalizations and cardiovascular complications including strokes are frequent, illustrating the need to improve management of AF patients.
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Between 10% and 40% of AF patients are hospitalized each year.
“between 10% and 40% of AF patients are hospitalized each year.23,34,35”
From 2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS (2016) · cites this paper as [35]
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Research works printed but not linked: 2
- P. Kirchhof et al.: Management of AF in clinical practice Published online in Wiley Online Library (wileyonlinelibrary.com) DOI:10.1002/clc.22272 © 2014 Wiley Periodicals, Inc. · DOI
- Kannel WB, Wolf PA, Benjamin EJ, et al. Prevalence, inci- dence, prognosis, and predisposing conditions for atrial fib- rillation: population-based estimates. Am J Cardiol. 1998; 82: 2N-9N.
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2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castella, M., Diener, H.-C., Heidbuchel, H., Hendriks, J., et al. (2016) · European Heart Journal · doi:10.1093/eurheartj/ehw210 · Cited by 6,418 · see citing works
Self-citation2016 ESC Guidelines for the management of atrial fibrillation developed in collaboration with EACTS
Kirchhof, P., Benussi, S., Kotecha, D., Ahlsson, A., Atar, D., Casadei, B., Castella, M., Diener, H.-C., Heidbuchel, H., Hendriks, J., et al. (2016) · European Journal of Cardio-Thoracic Surgery · doi:10.1093/ejcts/ezw313 · Cited by 1,403 · see citing works
Self-citation
- Authors
- Kirchhof, P., Schmalowsky, J., Pittrow, D., Rosin, L., Kirch, W., Wegscheider, K., Meinertz, T., & for the ATRIUM Study Group
- Affiliations
- University of Münster (DE)
- Sanofi (Germany) (DE)
- Technische Universität Dresden (DE)
- University Medical Center Hamburg-Eppendorf (DE)
- Corresponding author
- Kirchhof, Paulus
- Venue
- Clinical Cardiology
- Publisher
- Wiley
- Published
- 2014-03-20
- Volume
- 37
- Issue
- 5
- Pages
- 277-284
- ISSN
- 0160-9289 (ISSN-L)
- 1932-8737
- PMC
- PMC6649363
- OpenAlex
- W1563287684
- Cited by
- 37
- References
- 43
- Citations by year
- 2026: 1 · 2024: 4 · 2022: 5 · 2021: 2 · 2020: 5 · 2019: 4 · 2018: 5 · 2017: 4 · 2016: 3 · 2015: 3 · 2014: 1
- FWCI
- 2.52
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Clinical Cardiology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- University of Birmingham Research Portal (University of Birmingham) (submittedVersion, other-oa)
- Funders
- Sanofi
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
- Health Sciences › Medicine › Epidemiology › Acute Ischemic Stroke Management
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Cardiovascular and Diving-Related Complications
- Keywords
- atrial fibrillation, primary care management, oral anticoagulation, stroke prevention, transient ischemic attack, hospitalization, rhythm control, CHA2DS2-VASc score, comorbidities, long-standing atrial fibrillation
- MeSH terms
- Aged, Aged, 80 and over, Anticoagulants, Atrial Fibrillation, Electrocardiography, Female, Follow-Up Studies, Germany, Hospitalization, Humans, Male, Middle Aged, Prognosis, Prospective Studies, Registries, Risk Factors, Cohort Studies, Treatment Outcome, Physicians, Primary Care
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