Diferencias de género en el manejo de los pacientes con fibrilación auricular: análisis de base poblacional en un área básica de salud

Riesgo, Alba; Sant, Elisenda; Benito, Luisa; Hoyo, Jordi; Miró, Òscar; Mont, Lluı́s; Bragulat, Ernest; Coll-Vinent, Blanca

doi:10.1016/j.recesp.2010.04.002

Cited by 17 publications

(2 citation statements)

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“…Furthermore, women received digoxin treatment more often (25.6% vs 17.4%), statins (36% vs 29.5%) and warfarin therapy (36.8% vs 25.1%). These apparent differences in sexes were also noticed in Spanish population with different demographic characteristics and older aged women [23]. The higher use of digoxin and the lower rate of electrical cardioversion in women was more likely due to higher prevalence of persistent/permanent AF.…”

Section: Discussionmentioning

confidence: 74%

Sex differences in management and outcomes of patients with atrial fibrillation in the Middle East: Gulf survey of atrial fibrillation events (Gulf SAFE)

et al. 2017

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Differences in the management of atrial fibrillation (AF) between men and women were investigated by using Gulf SAFE data in the Middle East. The study included 2,043 patients presenting with AF to emergency room (ER) were prospectively enrolled and followed for one-year. Women were older, have higher body mass index (BMI), comorbidities, and health complications than men. With regard to management of AF, cardioversion was recommended more often for men (16.7% vs. 9.3%), and underwent electrical cardioversion (2.2% vs. 1.1%). Women were prescribed digoxin more frequently than men (25.6% vs. 17.4%) and a significant number women received warfarin alone (31.1% vs. 8.7%). No difference between the sexes was noticed in One-year rates of stroke/transient ischemic attacks (TIA) and all-cause of mortality after one-year follow-up (3.1% men vs. 3.3% women, and 7.5% vs. 7.4%). Older age (≥ 65 years), smoking, alcohol use, CHADS2 scores ≥5 were some of the significant risk factors in men with AF. Suboptimal use of anticoagulants, higher mortality and stroke/TIA events at one year are high but similar between the sexes. ER management revealed high use of rate control strategy and high rate of hospital admission was noticed in women.

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Section: Discussionmentioning

confidence: 74%

Sex differences in management and outcomes of patients with atrial fibrillation in the Middle East: Gulf survey of atrial fibrillation events (Gulf SAFE)

et al. 2017

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“…These results are consistent with other studies that found higher utilization of these nonpharmacotherapies in younger patients and in male patient population. 16 For instance, a study of Medicare enrollees in the fiscal years 2001 to 2006 reported that RFCA was performed more in males than in females, and the majority of patients were younger than 75 years with decreased use associated with increasing age. 3 Another study investigated the trends in characteristics of patients undergoing catheter ablation over a 7-year period from 1999 to 2005 and found that on average, 77% patients undergoing catheter ablation were male and were comparatively younger (55 ± 11 years) than nonablated patients (67 ± 11 years).…”

Section: Discussionmentioning

confidence: 99%

Trends in Utilization of Management Strategies for Newly Diagnosed Atrial Fibrillation Patients in the United States

Kashyap

2011

Journal of Pharmacy Practice

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Objective To describe the trend in atrial fibrillation (AF) treatment strategies in newly diagnosed AF patients between 1999 and 2008. Methods The study was a retrospective cohort study of commercial health plans claims data. Newly diagnosed adult AF patients with ≥1 claim for an AF-related intervention within 12 months of diagnosis were identified. Based on initial treatment, patients were classified into pharmacotherapy or nonpharmacotherapy groups. Pharmacotherapy group was subcategorized into rate-control or rhythm-control groups. Linear regression to assess linear trend and multinomial logistic regression to evaluate factors associated with treatment choice were conducted. Results Three thousand ninety-four newly diagnosed AF patients were identified. Eighty percent of these patients were initiated on pharmacotherapy with the majority (84%) receiving rate-control medications only. Relative distribution of the 3 treatment groups remained similar over the study period. However, within the rate-control group, the use of beta blockers increased significantly (P < .001). Treatment with nonpharmacotherapy over rate-control medications was higher in males but lower in patients aged ≥80 (relative risk ratio [RRR]: 1.67, 95% confidence interval [CI]: 1.27–2.20 and RRR: 0.48, 95% CI: 0.30–0.77, respectively). Having stroke and congestive heart failure significantly affected the treatment choice between nonpharmacotherapy and rate-control medications. Conclusion Medication therapy, especially rate-control strategies, remains the preferred initial therapy of choice.

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Stroke Prophylaxis in Atrial Fibrillation: Searching for Management Improvement Opportunities in the Emergency Department: The HERMES-AF Study

Coll-Vinent

Montull

Suero

et al. 2015

Annals of Emergency Medicine

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Diferencias de género en el manejo de los pacientes con fibrilación auricular: análisis de base poblacional en un área básica de salud

Cited by 17 publications

References 11 publications

Sex differences in management and outcomes of patients with atrial fibrillation in the Middle East: Gulf survey of atrial fibrillation events (Gulf SAFE)

Sex differences in management and outcomes of patients with atrial fibrillation in the Middle East: Gulf survey of atrial fibrillation events (Gulf SAFE)

Trends in Utilization of Management Strategies for Newly Diagnosed Atrial Fibrillation Patients in the United States

Stroke Prophylaxis in Atrial Fibrillation: Searching for Management Improvement Opportunities in the Emergency Department: The HERMES-AF Study

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