• Journals
  • Discipline
  • Indexed
  • Institutions
  • About
JavaScript is disabled for your browser. Some features of this site may not work without it.
View Item 
  •   Home
  • Sociedad Médica de Santiago
  • Revista Médica de Chile
  • View Item
  •   Home
  • Sociedad Médica de Santiago
  • Revista Médica de Chile
  • View Item

FEATURES, MANAGEMENT AND PROGNOSIS OF CHILEAN PATIENTS WITH NON VALVULAR ATRIAL FIBRILLATION: GARFIELD AF REGISTRY

Características basales, manejo de terapias antitrombóticas y pronóstico de pacientes chilenos con FA no valvular. Lecciones del Registro GARFIELD AF en Chile.

Author
Corbalán, Ramón; Hospital Clínico Pontificia Universidad Católica de Chile

Conejeros, Carlos; Hospital Barros Luco Trudeau, Santiago

Rey, Carlos; Hospital El Salvador, Santiago

Stockins, Benjamin; Universidad de La Frontera - Hospital Dr. Hernán Henríquez, Temuco

Eggers, Germán; Hospital Base de Valdivia

Astudillo, Carlos; Hospital Carlos Van Buren, Valparaíso

Lanas, Fernando; Universidad de La Frontera - Hospital Dr. Hernán Henríquez Aravena, Temuco

Potthoff, Sergio; Hospital Base de Osorno

Houzvic, César; Clínica Santa Lucia, Santiago

Montecinos, Humberto; Hospital Sótero del Río, Santiago

Charme, Gustavo; Hospital Naval Almirante Nef, Valparaíso

Bugueño, Claudio; Hospital San Juan de Dios, La Serena

Aguilar, Juan; Hospital Clínico de Magallanes Dr. Lautaro Navarro Avaria, Punta Arenas

Arriagada, Germán; Hospital Clínico Regional Dr. Guillermo Grant Benavente, Concepción

Marín, Patricio; Hospital Regional de Talca

Larico, Martín; Hospital Padre Alberto Hurtado, Santiago

Full text
http://www.revistamedicadechile.cl/ojs/index.php/rmedica/article/view/5977
Abstract
Background: Atrial fibrillation (AF) is the most common cardiac arrhythmia and is associated with high rates of death, ischemic stroke and systemic embolism (SE). There is scarce information about clinical characteristics and use of antithrombotic therapies in Chilean patients with non-valvular AF. Aim: To describe the characteristics and 1-year outcomes of patients with recently diagnosed AF recruited in Chile into the prospective global GARFIELD-AF registry. Material and methods: Between 2011-2016, we prospectively registered information of 971 patients recruited at 15 centers, 85% of them from the public system and 15% from the private sector. Demographics, clinical characteristics and use of antithrombotic therapies were recorded for all patients. Adverse clinical outcomes were analyzed in 711 patients with 1-year follow-up. Results: The mean age was 71.5 years (66-79), 50% were men. Mean CHAD2S2 Vasc and HAS BLED scores for stroke risk were 3.3 (2.0-4.0) and 1.5 (1.0-2.0) respectively. Oral anticoagulants were prescribed in 82% of patients. Seventy percent received Vitamin K antagonists, 10% novel direct anticoagulants or antiplatelet therapy and only 8% did not receive any antithrombotic therapy. Mean time in optimal therapeutic range (an international normalized ratio of 2 to 3), was achieved in only 40.7% (23.0-54.8) of patients receiving Vitamin K antagonists. One year rates of death, stroke/systemic embolism and bleeding were 4.75 (3.36-6.71), 2.40 (1.47-3.92) and 1.64% (0.91-2.97) per 100 person-years. Ischemic stroke occurred in 1.8% and hemorrhagic stroke in 0.8% of patients at 1-year of follow up. Conclusions: Although the use of vitamin K antagonists at baseline was high, the mean time in optimal therapeutic range was low. Mortality and stroke rates are higher than those reported in other contemporary registries.
 
Background: Atrial fibrillation (AF) is the most common cardiac arrhythmia and is associated with high rates of death, ischemic stroke and systemic embolism (SE). There is scarce information about clinical characteristics and use of antithrombotic therapies in Chilean patients with non-valvular AF. Aim: To describe the characteristics and 1-year outcomes of patients with recently diagnosed AF recruited in Chile into the prospective global GARFIELD-AF registry. Material and methods: Between 2011-2016, we prospectively registered information of 971 patients recruited at 15 centers, 85% of them from the public system and 15% from the private sector. Demographics, clinical characteristics and use of antithrombotic therapies were recorded for all patients. Adverse clinical outcomes were analyzed in 711 patients with 1-year follow-up. Results: The mean age was 71.5 years (66-79), 50% were men. Mean CHAD2S2 Vasc and HAS BLED scores for stroke risk were 3.3 (2.0-4.0) and 1.5 (1.0-2.0) respectively. Oral anticoagulants were prescribed in 82% of patients. Seventy percent received Vitamin K antagonists, 10% novel direct anticoagulants or antiplatelet therapy and only 8% did not receive any antithrombotic therapy. Mean time in optimal therapeutic range (an international normalized ratio of 2 to 3), was achieved in only 40.7% (23.0-54.8) of patients receiving Vitamin K antagonists. One year rates of death, stroke/systemic embolism and bleeding were 4.75 (3.36-6.71), 2.40 (1.47-3.92) and 1.64% (0.91-2.97) per 100 person-years. Ischemic stroke occurred in 1.8% and hemorrhagic stroke in 0.8% of patients at 1-year of follow up. Conclusions: Although the use of vitamin K antagonists at baseline was high, the mean time in optimal therapeutic range was low. Mortality and stroke rates are higher than those reported in other contemporary registries.
 
Metadata
Show full item record

Related items

Showing items related by title, author, creator and subject.

  • Exploratory study for the validation of the Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS) in the population with Recurrent Remitting Multiple Sclerosis of the San Juan de Dios Hospital in Santiago, Chile 

    Matus, Paulina; Carrasco, Tamara; Guajardo , Grisell; López, Valeria; Rivera, Javiera; Toledo , Lilian; Quezada, Camilo. Revista Chilena de Fonoaudiología; Vol. 21 No. 1 (2022): RCDF; 1-7
  • Perception of occupational therapy care in telerehabilitation modality in patients treated in the occupational therapy section of Hospital del Trabajador, Santiago de Chile 

    Meneses Diaz, M. Isabel; Diaz Ramírez, Ximena. Contexto; No. 7 (2021): Acciones de Terapia Ocupacional en contexto de Pandemia; 101-111
  • Clinical-radiological characterization of patients with interstitial lung disease and positive myositis panel at hospital Santiago Oriente 

    OSSES V., FRANCISCO; ANDINO S., PAULETTE. Revista Chilena de Enfermedades Respiratorias; Vol. 39 No. 2 (2023); 138-143
Discipline
Artes, Arquitectura y UrbanismoCiencias Agrarias, Forestales y VeterinariasCiencias Exactas y NaturalesCiencias SocialesDerechoEconomía y AdministraciónFilosofía y HumanidadesIngenieríaMedicinaMultidisciplinarias
Institutions
Universidad de ChileUniversidad Católica de ChileUniversidad de Santiago de ChileUniversidad de ConcepciónUniversidad Austral de ChileUniversidad Católica de ValparaísoUniversidad del Bio BioUniversidad de ValparaísoUniversidad Católica del Nortemore

Browse

All of DSpaceCommunities & CollectionsBy Issue DateAuthorsTitlesSubjectsThis CollectionBy Issue DateAuthorsTitlesSubjects

My Account

LoginRegister
Dirección de Servicios de Información y Bibliotecas (SISIB) - Universidad de Chile
© 2019 Dspace - Modificado por SISIB