Cardio-oncology & other

Clinical Outcomes in Hospitalized Patients with Cancer and New versus Preexistent Atrial Fibrillation

Eur Heart J Qual Care Clin OutcomesPublished Prospective registry cohort study

Main findingResult — go to the resultHazard ratio 1.64 95% CI 1.27–2.13

Authors' conclusion

In hospitalized patients with cancer and electrocardiographically manifest new versus preexistent AF, NOAF was associated with a higher risk for the primary composite outcome of all-cause death, CV rehospitalization, or CVE.

Study context

Population
Hospitalized patients with cancer and clinically manifest new or preexistent atrial fibrillation (AF), Memorial Sloan Kettering Cancer Center AF registry, over 1 yearincluded in the analysis
Participants
606 patients
Exposure
New onset AF vs preexistent AF
  • New onset AF (NOAF)n = 313
  • Preexistent AFn = 293reference
Outcome
Composite of:
  • All-cause death
  • Cardiovascular (CV) rehospitalization
  • Cerebrovascular event (CVE)
Methodological detailssingle-centre registry
  • Single-centre registry

Main finding

As reported in the abstract

Hazard ratio

1.64

95% CI 1.27–2.13

P = 0.002

NOAFvs Preexistent AF
HR 1.64 (95% CI 1.27–2.13); P = 0.002

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)P value
Secondary CV composite (clinical AF recurrence, CV death, CV rehospitalization or CVE)2.17 (1.57–2.99)P < 0.0001

Original publication

Clinical Outcomes in Hospitalized Patients with Cancer and New versus Preexistent Atrial Fibrillation. Eur Heart J Qual Care Clin Outcomes. Published 28 December 2023. doi:10.1093/ehjqcco/qcad077

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