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- Title
A prospective survey of atrial fibrillation management in Iran: Baseline results of the Iranian Registry of Atrial Fibrillation (IRAF).
- Authors
Heidarali, Mona; Bakhshandeh, Hooman; Golpira, Reza; Fazelifar, Amirfarjam; Alizadeh‐Diz, Abolfath; Emkanjoo, Zahra; Madadi, Shabnam; Kamali, Farzad; Maleki, Majid; Lip, Gregory Y. H.; Haghjoo, Majid; Alizadeh-Diz, Abolfath
- Abstract
<bold>Background: </bold>Atrial fibrillation. (AF) is the most common sustained arrhythmia globally and its prevalence is likely to increase in the next decades as a result of increasing age and co-morbidities. There are no data on demographic features, clinical characteristics, associated comorbidities, and practice patterns of AF in Iran.<bold>Methods: </bold>The Iranian Registry of Atrial Fibrillation (IRAF) is a hospital-based prospective survey of AF patients with a 12-month follow-up. Data were collected on a standardized case report form and entered into a web-based electronic database. This paper reports the baseline characteristics of the IRAF cohort.<bold>Results: </bold>Between February 2018 and March 2020, a total of 1300 patients (57% Male, mean age, 60 ± 14 years) were enrolled. Palpitations were the most common presenting symptom (66%). The most common cardiac comorbidities were hypertension (52%), heart failure (23.7%), and valvular heart disease (21.8%). AF mainly presented as a paroxysmal pattern (44.6%). Seventy-eight percent of the patients with non-valvular AF had CHA2 DS2 -VASc score ≥1 and most (97%) were at low risk for bleeding (HAS-BLED score <3). Rhythm control was given to 55.1% of the patients. Anticoagulation for stroke prevention was provided to 69.5% of the eligible patients, while aspirin was used in 35%.<bold>Conclusion: </bold>The IRAF Registry has provided a systematic collection of contemporary data regarding the management and treatment of AF in Iran. Oral anticoagulant was used in 69.5%, but aspirin use was still common.
- Subjects
IRAN; STROKE; ATRIAL fibrillation; ANTICOAGULANTS; ACQUISITION of data; LONGITUDINAL method; DISEASE complications
- Publication
International Journal of Clinical Practice, 2021, Vol 75, Issue 8, p1
- ISSN
1368-5031
- Publication type
journal article
- DOI
10.1111/ijcp.14313