Arrhythmias & electrophysiologyCohort study

Impact of weight/body mass index (BMI) on clinical and bleeding events in 26 805 atrial fibrillation patients on edoxaban from the Global ETNA-AF Registry

Eur J Prev CardiolPublished

  • Prospective registry cohort study
  • multinational registry
  • Europe and Asia

Authors' conclusion

In a large cohort of AF patients, U-shaped relationships were found between body weight/BMI and all-cause/CV death at 2-year follow-up.

Study context

Population
Atrial fibrillation (AF) patients receiving edoxaban in Europe and Asia (Global ETNA-AF)
Participants
26,805 patients
Exposure
Body weight/BMI categories
Outcome
Clinical/bleeding event rates by body weight/BMI
Follow-up
2 years

Main finding

As reported in the abstract

Body weight/BMI and clinical/bleeding events
Body weight (mean ± SD)
72.2 ± 18.1 kg
BMI (mean ± SD)
26.4 ± 5.0 kg/m²
Higher-risk cut-off, any stroke/SEE
BMI ≤20 kg/m²
Higher-risk cut-off, haemorrhagic stroke
BMI ≤20 kg/m², weight ≤53 kg
Higher-risk cut-off, cardiovascular (CV) death
BMI ≤22 and ≥32 kg/m², weight ≤62 kg
Higher-risk cut-off, all-cause death
BMI ≤24 and ≥30 kg/m², weight ≤69 kg and ≥118 kg

Observational data: associations, not effects.

Original publication

Impact of weight/BMI on clinical and bleeding events in 26 805 atrial fibrillation patients on edoxaban from the Global ETNA-AF Registry. Eur J Prev Cardiol. Published 25 October 2025. doi:10.1093/eurjpc/zwaf685

Summarised from the published abstract; every number is checked against it