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Patient preferences at ten years following initial diagnosis of atrial fibrillation: the Belgrade Atrial Fibrillation Study

机译:初步诊断为房颤后的十年中患者的喜好:贝尔格莱德房颤研究

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Background: Many atrial fibrillation (AF) patients have a poor understanding of the management of this condition. We investigated patient attitudes towards AF and a potential invasive treatment following an average 10-year period of prospective rhythm control in a cohort of newly diagnosed AF patients. Methods: This was a prospective registry-based study. At the regular annual visit in 2007, patients were asked at random to answer several AF-related questions. Results: Of 390 patients, 277 (71.0%) reported symptom reduction over time, but only 45 (11.5%) reported that they had "got used" to AF; 201 patients (51.5%) stated they would always prefer sinus rhythm, and 280 (71.2%) would accept an invasive AF treatment. Independent predictors for choosing an invasive procedure were younger age, impaired career/working capacity, and male gender (all P < 0.05). Conclusion: Our findings suggest that most AF patients prefer sinus rhythm and would readily accept an invasive procedure if it offered the possibility of a cure for their AF.
机译:背景:许多房颤(AF)患者对该病的处理了解甚少。在一组新近诊断为AF的患者中,我们研究了平均10年的前瞻性心律控制后患者对AF的态度以及潜在的侵入性治疗。方法:这是一项基于前瞻性注册表的研究。在2007年的例行年度访问中,随机要求患者回答几个与AF相关的问题。结果:在390例患者中,有277例(71.0%)报告症状随时间而减轻,但只有45例(11.5%)报告称他们“习惯于” AF。 201例患者(51.5%)表示他们将始终喜欢窦性心律,而280例(71.2%)将接受有创房颤治疗。选择侵入性手术的独立预测因素是年龄较小,职业/工作能力受损以及男性(所有P <0.05)。结论:我们的研究结果表明,大多数房颤患者更喜欢窦性心律,如果可以治愈房颤,他们将很容易接受侵入性手术。

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