Arrhythmias & electrophysiology

Baseline Health Status and its Association With Subsequent Cardiovascular Events in Patients With Atrial Fibrillation

JACC Clin ElectrophysiolPublished Prospective cohort study

Main finding · MACNE by baseline AFEQT scoreResult — go to the resultHazard ratio 1.65 95% CI 1.21–2.25

Authors' conclusion

Diminished health status in patients with AF is common and is independently associated with subsequent adverse cardiovascular events.

Study context

Population
Patients with new-onset atrial fibrillation (AF) referred to 11 hospitals, 2012–20183,296 completed AFEQT
Participants
3,313 patients
Exposure
Baseline AFEQT health status categories and subsequent MACNE
  • AFEQT overall summary (OS) <60n = 517
  • AFEQT OS 60 to <80n = 1,035
Outcome
MACNE (all-cause death, stroke or new-onset HF hospitalization)
Follow-up
2 years
Methodological detailsmulticentre (11 hospitals)
  • Multicentre (11 hospitals)

Main finding

MACNE by baseline AFEQT score

Hazard ratio

1.65

95% CI 1.21–2.25

AFEQT daily activity score <80vs AFEQT daily activity score ≥80
HR 1.65 (95% CI 1.21–2.25)

As reported in the abstract

MACNE events
226 (6.8%)

Observational data: associations, not effects.

Further findings

Factors associated with lower baseline AFEQT OS score

Female sex, younger age, family history of AF, higher baseline heart rate, paroxysmal AF, initial ED visit and history of HF associated with lower AFEQT OS scores

Original publication

Baseline Health Status and its Association With Subsequent Cardiovascular Events in Patients With Atrial Fibrillation. JACC Clin Electrophysiol. Published 26 July 2023. doi:10.1016/j.jacep.2023.05.037

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