A prospective survey in European Society of Cardiology member countries of atrial fibrillation management: baseline results of EURO bservational Research Programme Atrial Fibrillation (EORP-AF) Pilot General Registry

Gregory Y.H. Lip; Cécile Laroche; Gheorghe Andrei Dan; Massimo Santini; Zbigniew Kalarus; L. H. Rasmussen; Mário Martins Oliveira; Georges Mairesse; H. J.G.M. Crijns; Emmanouil Simantirakis; Dan Atar; Paulus Kirchhof; Panos Vardas; Luigi Tavazzi; Aldo P. Maggioni; M. Raepers; Z. El Husseini; D. Dilling-Boer; J. Schurmans; J. Vijgen; P. Koopman; W. Huybrechts; F. Dormal; D. Blommaert; O. Deceuninck; O. Xhaet; C. Fragtrup Hellum; B. Mortensen; B. Ginnerup Sorensen; A. M. Joensen; L. H. Rasmussen; A. Karlsdottir; S. Pehrson; J. Hummelshoj; A. M. Svenningsen; L. Tanggaard; P. Wiggers; A. Nygaard; A. Jonstrup; J. Petersen; A. Odgaard; M. Mortensen; L. Frost; D. Svenstrup Møller; H. M. Søndergaard; P. D. Christensen; S. Xydonas; L. Lioni; M. Dimopoulou; G. Georgiopoulos; E. Papatheodorou; P. Boutas; A. Kartalis; P. Vardas; H. Nakou; E. Kanoupakis; E. Simantirakis; D. Tahmatzidis; I. Styliadis; V. Vassilikos; K. Koskinas; N. Fragakis; K. Polymeropoulos; G. Maligos; C. Martignani; I. Diemberger; G. Boriani; J. Frisoni; M. Biffi; M. Ziacchi; P. Cimaglia; E. Fantecchi; S. Boni; D. Gabbai; N. Marchionni; S. Fumagalli; M. Bobbo; F. Ramani; G. Sinagra; L. Vitali-Serdoz; A. Nordio; A. Porto; M. Zecchin; C. Di Nora; S. Novo; F. P. Guarneri; F. MacAione; R. Rød; R. M.O. Stødle; M. O. Pervez; P. Smith; M. Buvarp; P. K. Rønnevik; A. Vold; J. Fuglestved; D. Atar; E. Stenshjemmet; K. Risberg; A. Sokal; A. Kubicius; E. Prochniewicz; K. Pokrywa; R. Rzeuski; A. Weryszko; M. Haberka; Z. Gasior; A. Slowikowski; M. Janion; M. Kołodziej; A. Janion-Sadowska; J. Drozdz; M. Stasiak; P. Jakubowski; T. Ciurus; M. Pawlak; M. Nowakowska; K. Wiklo; M. Kurpesa; A. Olejnik; J. Miarka; W. Streb; L. Zielinski; M. Dluzniewski; M. Tomaszewska-Kiecana; G. Opolski; M. Budnik; M. Kiliszek; J. Gorska; A. Mamcarz; D. Sliz; K. Makowiecki; A. Fuglewicz; M. Drozd; M. Garncarek; A. Musialik-Lydka; E. Markowicz-Pawlus; G. Kaźmierczak; A. Leopold-Jadczyk; M. Koziel; S. Sobral; H. Pereira; L. Brandao Alves; L. Ribeiro; R. Miranda; S. Almeida; F. Madeira; M. Faustino; R. Oliveira; V. Gil; C. Braga; J. Martins; S. Rocha; S. Magalhaes; V. Ramos; R. Bernardo; F. Costa; F. Morgado; P. Galvao Santos; N. Almeida; P. Adragao; P. Carmo; G. Mariano Pego; J. Ferreira; L. Elvas; M. Ventura; N. António; R. Ferreira; A. F. Damasio; A. R. Santos; B. Piçarra; D. Neves; I. De Jesus; J. Amado; P. Sousa; R. Candeias; A. Lourenco; A. Pereira; F. Canário-Almeida; M. Fernandes; F. Ferreira; I. MacHado; I. Quelhas; J. Guardado; V. Pereira; D. Cavaco; N. Almeida; P. Adragao; P. Carmo; A. Lousinha; B. Valente; N. Silva; P. Cunha; R. Pimenta; S. Santos; M. Martins Oliveira; S. Vicente; A. Bernardes; A. Nunes Diogo; E. Rodrigues; J. M. Frazao Rodrigues De Sousa; L. Carpinteiro; M. Satendra; N. Cortez Dias; S. Neto; V. Gama Ribeiro; H. Gonçalves; J. Primo; L. Adao; M. Oliveira; A. Costa; A. Delgado; B. Marmelo; D. Moreira; J. Santos; L. Santos; B. Rodrigues; A. Pop Moldovan; D. Darabantiu; B. Todea; C. Pop; D. Dicu; D. Filip; D. Mercea; G. Kozma; M. Schiopu; G. Catanescu; C. Popescu; E. Bobescu; A. Gabor; A. Buzea; G. A. Dan; I. Buzea Daha; N. Asan; R. Popescu; G. A. Dan; D. Bartos; E. Badila; E. Tintea; C. Grigore; A. M. Daraban; A. Sandulescu; A. Carp; D. Gherasim; I. M. Stoian; M. M. Baluta; M. M. Vintila; M. I. Popescu; O. Tica; L. Petrescu; N. Alina-Ramona; R. Dan; D. C. Cozma; C. Tutuianu; M. Mangea; E. Goanta; J. M. Van Opstal; R. Van Rennes; B. A. Mulder; S. A.M. Said; R. J. Folkeringa; S. Philippens; H. J.G.M. Crijns; Y. Blaauw; I. Aksoy; M. Pluymen; R. Driessen; I. Limantoro; T. Lankveld; M. Mafi Rad; J. Hendriks; W. H. Van Unen; J. Meeder

doi:10.1093/europace/eut373

A prospective survey in European Society of Cardiology member countries of atrial fibrillation management: baseline results of EURO bservational Research Programme Atrial Fibrillation (EORP-AF) Pilot General Registry

Gregory Y.H. Lip^*, Cécile Laroche, Gheorghe Andrei Dan, Massimo Santini, Zbigniew Kalarus, L. H. Rasmussen, Mário Martins Oliveira, Georges Mairesse, H. J.G.M. Crijns, Emmanouil Simantirakis, Dan Atar, Paulus Kirchhof, Panos Vardas, Luigi Tavazzi, Aldo P. Maggioni, M. Raepers, Z. El Husseini, D. Dilling-Boer, J. Schurmans, J. VijgenP. Koopman, W. Huybrechts, F. Dormal, D. Blommaert, O. Deceuninck, O. Xhaet, C. Fragtrup Hellum, B. Mortensen, B. Ginnerup Sorensen, A. M. Joensen, L. H. Rasmussen, A. Karlsdottir, S. Pehrson, J. Hummelshoj, A. M. Svenningsen, L. Tanggaard, P. Wiggers, A. Nygaard, A. Jonstrup, J. Petersen, A. Odgaard, M. Mortensen, L. Frost, D. Svenstrup Møller, H. M. Søndergaard, P. D. Christensen, S. Xydonas, L. Lioni, M. Dimopoulou, G. Georgiopoulos, E. Papatheodorou, P. Boutas, A. Kartalis, P. Vardas, H. Nakou, E. Kanoupakis, E. Simantirakis, D. Tahmatzidis, I. Styliadis, V. Vassilikos, K. Koskinas, N. Fragakis, K. Polymeropoulos, G. Maligos, C. Martignani, I. Diemberger, G. Boriani, J. Frisoni, M. Biffi, M. Ziacchi, P. Cimaglia, E. Fantecchi, S. Boni, D. Gabbai, N. Marchionni, S. Fumagalli, M. Bobbo, F. Ramani, G. Sinagra, L. Vitali-Serdoz, A. Nordio, A. Porto, M. Zecchin, C. Di Nora, S. Novo, F. P. Guarneri, F. MacAione, R. Rød, R. M.O. Stødle, M. O. Pervez, P. Smith, M. Buvarp, P. K. Rønnevik, A. Vold, J. Fuglestved, D. Atar, E. Stenshjemmet, K. Risberg, A. Sokal, A. Kubicius, E. Prochniewicz, K. Pokrywa, R. Rzeuski, A. Weryszko, M. Haberka, Z. Gasior, A. Slowikowski, M. Janion, M. Kołodziej, A. Janion-Sadowska, J. Drozdz, M. Stasiak, P. Jakubowski, T. Ciurus, M. Pawlak, M. Nowakowska, K. Wiklo, M. Kurpesa, A. Olejnik, J. Miarka, W. Streb, L. Zielinski, M. Dluzniewski, M. Tomaszewska-Kiecana, G. Opolski, M. Budnik, M. Kiliszek, J. Gorska, A. Mamcarz, D. Sliz, K. Makowiecki, A. Fuglewicz, M. Drozd, M. Garncarek, A. Musialik-Lydka, E. Markowicz-Pawlus, G. Kaźmierczak, A. Leopold-Jadczyk, M. Koziel, S. Sobral, H. Pereira, L. Brandao Alves, L. Ribeiro, R. Miranda, S. Almeida, F. Madeira, M. Faustino, R. Oliveira, V. Gil, C. Braga, J. Martins, S. Rocha, S. Magalhaes, V. Ramos, R. Bernardo, F. Costa, F. Morgado, P. Galvao Santos, N. Almeida, P. Adragao, P. Carmo, G. Mariano Pego, J. Ferreira, L. Elvas, M. Ventura, N. António, R. Ferreira, A. F. Damasio, A. R. Santos, B. Piçarra, D. Neves, I. De Jesus, J. Amado, P. Sousa, R. Candeias, A. Lourenco, A. Pereira, F. Canário-Almeida, M. Fernandes, F. Ferreira, I. MacHado, I. Quelhas, J. Guardado, V. Pereira, D. Cavaco, N. Almeida, P. Adragao, P. Carmo, A. Lousinha, B. Valente, N. Silva, P. Cunha, R. Pimenta, S. Santos, M. Martins Oliveira, S. Vicente, A. Bernardes, A. Nunes Diogo, E. Rodrigues, J. M. Frazao Rodrigues De Sousa, L. Carpinteiro, M. Satendra, N. Cortez Dias, S. Neto, V. Gama Ribeiro, H. Gonçalves, J. Primo, L. Adao, M. Oliveira, A. Costa, A. Delgado, B. Marmelo, D. Moreira, J. Santos, L. Santos, B. Rodrigues, A. Pop Moldovan, D. Darabantiu, B. Todea, C. Pop, D. Dicu, D. Filip, D. Mercea, G. Kozma, M. Schiopu, G. Catanescu, C. Popescu, E. Bobescu, A. Gabor, A. Buzea, G. A. Dan, I. Buzea Daha, N. Asan, R. Popescu, G. A. Dan, D. Bartos, E. Badila, E. Tintea, C. Grigore, A. M. Daraban, A. Sandulescu, A. Carp, D. Gherasim, I. M. Stoian, M. M. Baluta, M. M. Vintila, M. I. Popescu, O. Tica, L. Petrescu, N. Alina-Ramona, R. Dan, D. C. Cozma, C. Tutuianu, M. Mangea, E. Goanta, J. M. Van Opstal, R. Van Rennes, B. A. Mulder, S. A.M. Said, R. J. Folkeringa, S. Philippens, H. J.G.M. Crijns, Y. Blaauw, I. Aksoy, M. Pluymen, R. Driessen, I. Limantoro, T. Lankveld, M. Mafi Rad, J. Hendriks, W. H. Van Unen, J. Meeder

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

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Abstract

Aims: Given the advances in atrial fibrillation (AF) management and the availability of new European Society of Cardiology (ESC) guidelines, there is a need for the systematic collection of contemporary data regarding the management and treatment of AF in ESC member countries. Methods and results: We conducted a registry of consecutive in- and outpatients with AF presenting to cardiologists in nine participating ESC countries. All patients with an ECG-documented diagnosis of AF confirmed in the year prior to enrolment were eligible. We enroled a total of 3119 patients from February 2012 to March 2013, with full data on clinical subtype available for 3049 patients (40.4% female; mean age 68.8 years). Common comorbidities were hypertension, coronary disease, and heart failure. Lone AF was present in only 3.9% (122 patients). Asymptomatic AF was common, particularly among those with permanent AF. Amiodarone was the most common antiarrhythmic agent used (~20%), while beta-blockers and digoxin were the most used rate control drugs. Oral anticoagulants (OACs) were used in 80% overall, most often vitamin K antagonists (71.6%), with novel OACs being used in 8.4%. Other antithrombotics (mostly antiplatelet therapy, especially aspirin) were still used in one-third of the patients, and no antithrombotic treatment in only 4.8%. Oral anticoagulants were used in 56.4% of CHA ₂DS₂-VASc = 0, with 26.3% having no antithrombotic therapy. A high HAS-BLED score was not used to exclude OAC use, but there was a trend towards more aspirin use in the presence of a high HAS-BLED score. Conclusion: The EURObservational Research Programme Atrial Fibrillation (EORP-AF) Pilot Registry has provided systematic collection of contemporary data regarding the management and treatment of AF by cardiologists in ESC member countries. Oral anticoagulant use has increased, but novel OAC use was still low. Compliance with the treatment guidelines for patients with the lowest and higher stroke risk scores remains suboptimal.

Original language	English
Pages (from-to)	308-319
Number of pages	12
Journal	Europace
Volume	16
Issue number	3
DOIs	https://doi.org/10.1093/europace/eut373
Publication status	Published - 1 Mar 2014

Keywords

Anticoagulation
Atrial fibrillation
Registry
Risk scores

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine
Physiology (medical)

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10.1093/europace/eut373

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Lip, G. Y. H., Laroche, C., Dan, G. A., Santini, M., Kalarus, Z., Rasmussen, L. H., Oliveira, M. M., Mairesse, G., Crijns, H. J. G. M., Simantirakis, E., Atar, D., Kirchhof, P., Vardas, P., Tavazzi, L., Maggioni, A. P., Raepers, M., El Husseini, Z., Dilling-Boer, D., Schurmans, J., ... Meeder, J. (2014). A prospective survey in European Society of Cardiology member countries of atrial fibrillation management: baseline results of EURO bservational Research Programme Atrial Fibrillation (EORP-AF) Pilot General Registry. Europace, 16(3), 308-319. https://doi.org/10.1093/europace/eut373

@article{dc5ec675d00f40a59d294a2d5c9a4e40,

title = "A prospective survey in European Society of Cardiology member countries of atrial fibrillation management: baseline results of EURO bservational Research Programme Atrial Fibrillation (EORP-AF) Pilot General Registry",

abstract = "Aims: Given the advances in atrial fibrillation (AF) management and the availability of new European Society of Cardiology (ESC) guidelines, there is a need for the systematic collection of contemporary data regarding the management and treatment of AF in ESC member countries. Methods and results: We conducted a registry of consecutive in- and outpatients with AF presenting to cardiologists in nine participating ESC countries. All patients with an ECG-documented diagnosis of AF confirmed in the year prior to enrolment were eligible. We enroled a total of 3119 patients from February 2012 to March 2013, with full data on clinical subtype available for 3049 patients (40.4% female; mean age 68.8 years). Common comorbidities were hypertension, coronary disease, and heart failure. Lone AF was present in only 3.9% (122 patients). Asymptomatic AF was common, particularly among those with permanent AF. Amiodarone was the most common antiarrhythmic agent used (~20%), while beta-blockers and digoxin were the most used rate control drugs. Oral anticoagulants (OACs) were used in 80% overall, most often vitamin K antagonists (71.6%), with novel OACs being used in 8.4%. Other antithrombotics (mostly antiplatelet therapy, especially aspirin) were still used in one-third of the patients, and no antithrombotic treatment in only 4.8%. Oral anticoagulants were used in 56.4% of CHA 2DS2-VASc = 0, with 26.3% having no antithrombotic therapy. A high HAS-BLED score was not used to exclude OAC use, but there was a trend towards more aspirin use in the presence of a high HAS-BLED score. Conclusion: The EURObservational Research Programme Atrial Fibrillation (EORP-AF) Pilot Registry has provided systematic collection of contemporary data regarding the management and treatment of AF by cardiologists in ESC member countries. Oral anticoagulant use has increased, but novel OAC use was still low. Compliance with the treatment guidelines for patients with the lowest and higher stroke risk scores remains suboptimal.",

keywords = "Anticoagulation, Atrial fibrillation, Registry, Risk scores",

author = "Lip, {Gregory Y.H.} and C{\'e}cile Laroche and Dan, {Gheorghe Andrei} and Massimo Santini and Zbigniew Kalarus and Rasmussen, {L. H.} and Oliveira, {M{\'a}rio Martins} and Georges Mairesse and Crijns, {H. J.G.M.} and Emmanouil Simantirakis and Dan Atar and Paulus Kirchhof and Panos Vardas and Luigi Tavazzi and Maggioni, {Aldo P.} and M. Raepers and {El Husseini}, Z. and D. Dilling-Boer and J. Schurmans and J. Vijgen and P. Koopman and W. Huybrechts and F. Dormal and D. Blommaert and O. Deceuninck and O. Xhaet and {Fragtrup Hellum}, C. and B. Mortensen and {Ginnerup Sorensen}, B. and Joensen, {A. M.} and Rasmussen, {L. H.} and A. Karlsdottir and S. Pehrson and J. Hummelshoj and Svenningsen, {A. M.} and L. Tanggaard and P. Wiggers and A. Nygaard and A. Jonstrup and J. Petersen and A. Odgaard and M. Mortensen and L. Frost and {Svenstrup M{\o}ller}, D. and S{\o}ndergaard, {H. M.} and Christensen, {P. D.} and S. Xydonas and L. Lioni and M. Dimopoulou and G. Georgiopoulos and E. Papatheodorou and P. Boutas and A. Kartalis and P. Vardas and H. Nakou and E. Kanoupakis and E. Simantirakis and D. Tahmatzidis and I. Styliadis and V. Vassilikos and K. Koskinas and N. Fragakis and K. Polymeropoulos and G. Maligos and C. Martignani and I. Diemberger and G. Boriani and J. Frisoni and M. Biffi and M. Ziacchi and P. Cimaglia and E. Fantecchi and S. Boni and D. Gabbai and N. Marchionni and S. Fumagalli and M. Bobbo and F. Ramani and G. Sinagra and L. Vitali-Serdoz and A. Nordio and A. Porto and M. Zecchin and {Di Nora}, C. and S. Novo and Guarneri, {F. P.} and F. MacAione and R. R{\o}d and St{\o}dle, {R. M.O.} and Pervez, {M. O.} and P. Smith and M. Buvarp and R{\o}nnevik, {P. K.} and A. Vold and J. Fuglestved and D. Atar and E. Stenshjemmet and K. Risberg and A. Sokal and A. Kubicius and E. Prochniewicz and K. Pokrywa and R. Rzeuski and A. Weryszko and M. Haberka and Z. Gasior and A. Slowikowski and M. Janion and M. Ko{\l}odziej and A. Janion-Sadowska and J. Drozdz and M. Stasiak and P. Jakubowski and T. Ciurus and M. Pawlak and M. Nowakowska and K. Wiklo and M. Kurpesa and A. Olejnik and J. Miarka and W. Streb and L. Zielinski and M. Dluzniewski and M. Tomaszewska-Kiecana and G. Opolski and M. Budnik and M. Kiliszek and J. Gorska and A. Mamcarz and D. Sliz and K. Makowiecki and A. Fuglewicz and M. Drozd and M. Garncarek and A. Musialik-Lydka and E. Markowicz-Pawlus and G. Ka{\'z}mierczak and A. Leopold-Jadczyk and M. Koziel and S. Sobral and H. Pereira and {Brandao Alves}, L. and L. Ribeiro and R. Miranda and S. Almeida and F. Madeira and M. Faustino and R. Oliveira and V. Gil and C. Braga and J. Martins and S. Rocha and S. Magalhaes and V. Ramos and R. Bernardo and F. Costa and F. Morgado and {Galvao Santos}, P. and N. Almeida and P. Adragao and P. Carmo and {Mariano Pego}, G. and J. Ferreira and L. Elvas and M. Ventura and N. Ant{\'o}nio and R. Ferreira and Damasio, {A. F.} and Santos, {A. R.} and B. Pi{\c c}arra and D. Neves and {De Jesus}, I. and J. Amado and P. Sousa and R. Candeias and A. Lourenco and A. Pereira and F. Can{\'a}rio-Almeida and M. Fernandes and F. Ferreira and I. MacHado and I. Quelhas and J. Guardado and V. Pereira and D. Cavaco and N. Almeida and P. Adragao and P. Carmo and A. Lousinha and B. Valente and N. Silva and P. Cunha and R. Pimenta and S. Santos and {Martins Oliveira}, M. and S. Vicente and A. Bernardes and {Nunes Diogo}, A. and E. Rodrigues and {Frazao Rodrigues De Sousa}, {J. M.} and L. Carpinteiro and M. Satendra and {Cortez Dias}, N. and S. Neto and {Gama Ribeiro}, V. and H. Gon{\c c}alves and J. Primo and L. Adao and M. Oliveira and A. Costa and A. Delgado and B. Marmelo and D. Moreira and J. Santos and L. Santos and B. Rodrigues and {Pop Moldovan}, A. and D. Darabantiu and B. Todea and C. Pop and D. Dicu and D. Filip and D. Mercea and G. Kozma and M. Schiopu and G. Catanescu and C. Popescu and E. Bobescu and A. Gabor and A. Buzea and Dan, {G. A.} and {Buzea Daha}, I. and N. Asan and R. Popescu and Dan, {G. A.} and D. Bartos and E. Badila and E. Tintea and C. Grigore and Daraban, {A. M.} and A. Sandulescu and A. Carp and D. Gherasim and Stoian, {I. M.} and Baluta, {M. M.} and Vintila, {M. M.} and Popescu, {M. I.} and O. Tica and L. Petrescu and N. Alina-Ramona and R. Dan and Cozma, {D. C.} and C. Tutuianu and M. Mangea and E. Goanta and {Van Opstal}, {J. M.} and {Van Rennes}, R. and Mulder, {B. A.} and Said, {S. A.M.} and Folkeringa, {R. J.} and S. Philippens and Crijns, {H. J.G.M.} and Y. Blaauw and I. Aksoy and M. Pluymen and R. Driessen and I. Limantoro and T. Lankveld and {Mafi Rad}, M. and J. Hendriks and {Van Unen}, {W. H.} and J. Meeder",

year = "2014",

month = mar,

day = "1",

doi = "10.1093/europace/eut373",

language = "English",

volume = "16",

pages = "308--319",

journal = "Europace",

issn = "1099-5129",

publisher = "Oxford University Press",

number = "3",

}

Lip, GYH, Laroche, C, Dan, GA, Santini, M, Kalarus, Z, Rasmussen, LH, Oliveira, MM, Mairesse, G, Crijns, HJGM, Simantirakis, E, Atar, D, Kirchhof, P, Vardas, P, Tavazzi, L, Maggioni, AP, Raepers, M, El Husseini, Z, Dilling-Boer, D, Schurmans, J, Vijgen, J, Koopman, P, Huybrechts, W, Dormal, F, Blommaert, D, Deceuninck, O, Xhaet, O, Fragtrup Hellum, C, Mortensen, B, Ginnerup Sorensen, B, Joensen, AM, Rasmussen, LH, Karlsdottir, A, Pehrson, S, Hummelshoj, J, Svenningsen, AM, Tanggaard, L, Wiggers, P, Nygaard, A, Jonstrup, A, Petersen, J, Odgaard, A, Mortensen, M, Frost, L, Svenstrup Møller, D, Søndergaard, HM, Christensen, PD, Xydonas, S, Lioni, L, Dimopoulou, M, Georgiopoulos, G, Papatheodorou, E, Boutas, P, Kartalis, A, Vardas, P, Nakou, H, Kanoupakis, E, Simantirakis, E, Tahmatzidis, D, Styliadis, I, Vassilikos, V, Koskinas, K, Fragakis, N, Polymeropoulos, K, Maligos, G, Martignani, C, Diemberger, I, Boriani, G, Frisoni, J, Biffi, M, Ziacchi, M, Cimaglia, P, Fantecchi, E, Boni, S, Gabbai, D, Marchionni, N, Fumagalli, S, Bobbo, M, Ramani, F, Sinagra, G, Vitali-Serdoz, L, Nordio, A, Porto, A, Zecchin, M, Di Nora, C, Novo, S, Guarneri, FP, MacAione, F, Rød, R, Stødle, RMO, Pervez, MO, Smith, P, Buvarp, M, Rønnevik, PK, Vold, A, Fuglestved, J, Atar, D, Stenshjemmet, E, Risberg, K, Sokal, A, Kubicius, A, Prochniewicz, E, Pokrywa, K, Rzeuski, R, Weryszko, A, Haberka, M, Gasior, Z, Slowikowski, A, Janion, M, Kołodziej, M, Janion-Sadowska, A, Drozdz, J, Stasiak, M, Jakubowski, P, Ciurus, T, Pawlak, M, Nowakowska, M, Wiklo, K, Kurpesa, M, Olejnik, A, Miarka, J, Streb, W, Zielinski, L, Dluzniewski, M, Tomaszewska-Kiecana, M, Opolski, G, Budnik, M, Kiliszek, M, Gorska, J, Mamcarz, A, Sliz, D, Makowiecki, K, Fuglewicz, A, Drozd, M, Garncarek, M, Musialik-Lydka, A, Markowicz-Pawlus, E, Kaźmierczak, G, Leopold-Jadczyk, A, Koziel, M, Sobral, S, Pereira, H, Brandao Alves, L, Ribeiro, L, Miranda, R, Almeida, S, Madeira, F, Faustino, M, Oliveira, R, Gil, V, Braga, C, Martins, J, Rocha, S, Magalhaes, S, Ramos, V, Bernardo, R, Costa, F, Morgado, F, Galvao Santos, P, Almeida, N, Adragao, P, Carmo, P, Mariano Pego, G, Ferreira, J, Elvas, L, Ventura, M, António, N, Ferreira, R, Damasio, AF, Santos, AR, Piçarra, B, Neves, D, De Jesus, I, Amado, J, Sousa, P, Candeias, R, Lourenco, A, Pereira, A, Canário-Almeida, F, Fernandes, M, Ferreira, F, MacHado, I, Quelhas, I, Guardado, J, Pereira, V, Cavaco, D, Almeida, N, Adragao, P, Carmo, P, Lousinha, A, Valente, B, Silva, N, Cunha, P, Pimenta, R, Santos, S, Martins Oliveira, M, Vicente, S, Bernardes, A, Nunes Diogo, A, Rodrigues, E, Frazao Rodrigues De Sousa, JM, Carpinteiro, L, Satendra, M, Cortez Dias, N, Neto, S, Gama Ribeiro, V, Gonçalves, H, Primo, J, Adao, L, Oliveira, M, Costa, A, Delgado, A, Marmelo, B, Moreira, D, Santos, J, Santos, L, Rodrigues, B, Pop Moldovan, A, Darabantiu, D, Todea, B, Pop, C, Dicu, D, Filip, D, Mercea, D, Kozma, G, Schiopu, M, Catanescu, G, Popescu, C, Bobescu, E, Gabor, A, Buzea, A, Dan, GA, Buzea Daha, I, Asan, N, Popescu, R, Dan, GA, Bartos, D, Badila, E, Tintea, E, Grigore, C, Daraban, AM, Sandulescu, A, Carp, A, Gherasim, D, Stoian, IM, Baluta, MM, Vintila, MM, Popescu, MI, Tica, O, Petrescu, L, Alina-Ramona, N, Dan, R, Cozma, DC, Tutuianu, C, Mangea, M, Goanta, E, Van Opstal, JM, Van Rennes, R, Mulder, BA, Said, SAM, Folkeringa, RJ, Philippens, S, Crijns, HJGM, Blaauw, Y, Aksoy, I, Pluymen, M, Driessen, R, Limantoro, I, Lankveld, T, Mafi Rad, M, Hendriks, J, Van Unen, WH & Meeder, J 2014, 'A prospective survey in European Society of Cardiology member countries of atrial fibrillation management: baseline results of EURO bservational Research Programme Atrial Fibrillation (EORP-AF) Pilot General Registry', Europace, vol. 16, no. 3, pp. 308-319. https://doi.org/10.1093/europace/eut373

A prospective survey in European Society of Cardiology member countries of atrial fibrillation management: baseline results of EURO bservational Research Programme Atrial Fibrillation (EORP-AF) Pilot General Registry. / Lip, Gregory Y.H.; Laroche, Cécile; Dan, Gheorghe Andrei et al.
In: Europace, Vol. 16, No. 3, 01.03.2014, p. 308-319.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - A prospective survey in European Society of Cardiology member countries of atrial fibrillation management

T2 - baseline results of EURO bservational Research Programme Atrial Fibrillation (EORP-AF) Pilot General Registry

AU - Lip, Gregory Y.H.

AU - Laroche, Cécile

AU - Dan, Gheorghe Andrei

AU - Santini, Massimo

AU - Kalarus, Zbigniew

AU - Rasmussen, L. H.

AU - Oliveira, Mário Martins

AU - Mairesse, Georges

AU - Crijns, H. J.G.M.

AU - Simantirakis, Emmanouil

AU - Atar, Dan

AU - Kirchhof, Paulus

AU - Vardas, Panos

AU - Tavazzi, Luigi

AU - Maggioni, Aldo P.

AU - Raepers, M.

AU - El Husseini, Z.

AU - Dilling-Boer, D.

AU - Schurmans, J.

AU - Vijgen, J.

AU - Koopman, P.

AU - Huybrechts, W.

AU - Dormal, F.

AU - Blommaert, D.

AU - Deceuninck, O.

AU - Xhaet, O.

AU - Fragtrup Hellum, C.

AU - Mortensen, B.

AU - Ginnerup Sorensen, B.

AU - Joensen, A. M.

AU - Rasmussen, L. H.

AU - Karlsdottir, A.

AU - Pehrson, S.

AU - Hummelshoj, J.

AU - Svenningsen, A. M.

AU - Tanggaard, L.

AU - Wiggers, P.

AU - Nygaard, A.

AU - Jonstrup, A.

AU - Petersen, J.

AU - Odgaard, A.

AU - Mortensen, M.

AU - Frost, L.

AU - Svenstrup Møller, D.

AU - Søndergaard, H. M.

AU - Christensen, P. D.

AU - Xydonas, S.

AU - Lioni, L.

AU - Dimopoulou, M.

AU - Georgiopoulos, G.

AU - Papatheodorou, E.

AU - Boutas, P.

AU - Kartalis, A.

AU - Vardas, P.

AU - Nakou, H.

AU - Kanoupakis, E.

AU - Simantirakis, E.

AU - Tahmatzidis, D.

AU - Styliadis, I.

AU - Vassilikos, V.

AU - Koskinas, K.

AU - Fragakis, N.

AU - Polymeropoulos, K.

AU - Maligos, G.

AU - Martignani, C.

AU - Diemberger, I.

AU - Boriani, G.

AU - Frisoni, J.

AU - Biffi, M.

AU - Ziacchi, M.

AU - Cimaglia, P.

AU - Fantecchi, E.

AU - Boni, S.

AU - Gabbai, D.

AU - Marchionni, N.

AU - Fumagalli, S.

AU - Bobbo, M.

AU - Ramani, F.

AU - Sinagra, G.

AU - Vitali-Serdoz, L.

AU - Nordio, A.

AU - Porto, A.

AU - Zecchin, M.

AU - Di Nora, C.

AU - Novo, S.

AU - Guarneri, F. P.

AU - MacAione, F.

AU - Rød, R.

AU - Stødle, R. M.O.

AU - Pervez, M. O.

AU - Smith, P.

AU - Buvarp, M.

AU - Rønnevik, P. K.

AU - Vold, A.

AU - Fuglestved, J.

AU - Atar, D.

AU - Stenshjemmet, E.

AU - Risberg, K.

AU - Sokal, A.

AU - Kubicius, A.

AU - Prochniewicz, E.

AU - Pokrywa, K.

AU - Rzeuski, R.

AU - Weryszko, A.

AU - Haberka, M.

AU - Gasior, Z.

AU - Slowikowski, A.

AU - Janion, M.

AU - Kołodziej, M.

AU - Janion-Sadowska, A.

AU - Drozdz, J.

AU - Stasiak, M.

AU - Jakubowski, P.

AU - Ciurus, T.

AU - Pawlak, M.

AU - Nowakowska, M.

AU - Wiklo, K.

AU - Kurpesa, M.

AU - Olejnik, A.

AU - Miarka, J.

AU - Streb, W.

AU - Zielinski, L.

AU - Dluzniewski, M.

AU - Tomaszewska-Kiecana, M.

AU - Opolski, G.

AU - Budnik, M.

AU - Kiliszek, M.

AU - Gorska, J.

AU - Mamcarz, A.

AU - Sliz, D.

AU - Makowiecki, K.

AU - Fuglewicz, A.

AU - Drozd, M.

AU - Garncarek, M.

AU - Musialik-Lydka, A.

AU - Markowicz-Pawlus, E.

AU - Kaźmierczak, G.

AU - Leopold-Jadczyk, A.

AU - Koziel, M.

AU - Sobral, S.

AU - Pereira, H.

AU - Brandao Alves, L.

AU - Ribeiro, L.

AU - Miranda, R.

AU - Almeida, S.

AU - Madeira, F.

AU - Faustino, M.

AU - Oliveira, R.

AU - Gil, V.

AU - Braga, C.

AU - Martins, J.

AU - Rocha, S.

AU - Magalhaes, S.

AU - Ramos, V.

AU - Bernardo, R.

AU - Costa, F.

AU - Morgado, F.

AU - Galvao Santos, P.

AU - Almeida, N.

AU - Adragao, P.

AU - Carmo, P.

AU - Mariano Pego, G.

AU - Ferreira, J.

AU - Elvas, L.

AU - Ventura, M.

AU - António, N.

AU - Ferreira, R.

AU - Damasio, A. F.

AU - Santos, A. R.

AU - Piçarra, B.

AU - Neves, D.

AU - De Jesus, I.

AU - Amado, J.

AU - Sousa, P.

AU - Candeias, R.

AU - Lourenco, A.

AU - Pereira, A.

AU - Canário-Almeida, F.

AU - Fernandes, M.

AU - Ferreira, F.

AU - MacHado, I.

AU - Quelhas, I.

AU - Guardado, J.

AU - Pereira, V.

AU - Cavaco, D.

AU - Almeida, N.

AU - Adragao, P.

AU - Carmo, P.

AU - Lousinha, A.

AU - Valente, B.

AU - Silva, N.

AU - Cunha, P.

AU - Pimenta, R.

AU - Santos, S.

AU - Martins Oliveira, M.

AU - Vicente, S.

AU - Bernardes, A.

AU - Nunes Diogo, A.

AU - Rodrigues, E.

AU - Frazao Rodrigues De Sousa, J. M.

AU - Carpinteiro, L.

AU - Satendra, M.

AU - Cortez Dias, N.

AU - Neto, S.

AU - Gama Ribeiro, V.

AU - Gonçalves, H.

AU - Primo, J.

AU - Adao, L.

AU - Oliveira, M.

AU - Costa, A.

AU - Delgado, A.

AU - Marmelo, B.

AU - Moreira, D.

AU - Santos, J.

AU - Santos, L.

AU - Rodrigues, B.

AU - Pop Moldovan, A.

AU - Darabantiu, D.

AU - Todea, B.

AU - Pop, C.

AU - Dicu, D.

AU - Filip, D.

AU - Mercea, D.

AU - Kozma, G.

AU - Schiopu, M.

AU - Catanescu, G.

AU - Popescu, C.

AU - Bobescu, E.

AU - Gabor, A.

AU - Buzea, A.

AU - Dan, G. A.

AU - Buzea Daha, I.

AU - Asan, N.

AU - Popescu, R.

AU - Dan, G. A.

AU - Bartos, D.

AU - Badila, E.

AU - Tintea, E.

AU - Grigore, C.

AU - Daraban, A. M.

AU - Sandulescu, A.

AU - Carp, A.

AU - Gherasim, D.

AU - Stoian, I. M.

AU - Baluta, M. M.

AU - Vintila, M. M.

AU - Popescu, M. I.

AU - Tica, O.

AU - Petrescu, L.

AU - Alina-Ramona, N.

AU - Dan, R.

AU - Cozma, D. C.

AU - Tutuianu, C.

AU - Mangea, M.

AU - Goanta, E.

AU - Van Opstal, J. M.

AU - Van Rennes, R.

AU - Mulder, B. A.

AU - Said, S. A.M.

AU - Folkeringa, R. J.

AU - Philippens, S.

AU - Crijns, H. J.G.M.

AU - Blaauw, Y.

AU - Aksoy, I.

AU - Pluymen, M.

AU - Driessen, R.

AU - Limantoro, I.

AU - Lankveld, T.

AU - Mafi Rad, M.

AU - Hendriks, J.

AU - Van Unen, W. H.

AU - Meeder, J.

PY - 2014/3/1

Y1 - 2014/3/1

N2 - Aims: Given the advances in atrial fibrillation (AF) management and the availability of new European Society of Cardiology (ESC) guidelines, there is a need for the systematic collection of contemporary data regarding the management and treatment of AF in ESC member countries. Methods and results: We conducted a registry of consecutive in- and outpatients with AF presenting to cardiologists in nine participating ESC countries. All patients with an ECG-documented diagnosis of AF confirmed in the year prior to enrolment were eligible. We enroled a total of 3119 patients from February 2012 to March 2013, with full data on clinical subtype available for 3049 patients (40.4% female; mean age 68.8 years). Common comorbidities were hypertension, coronary disease, and heart failure. Lone AF was present in only 3.9% (122 patients). Asymptomatic AF was common, particularly among those with permanent AF. Amiodarone was the most common antiarrhythmic agent used (~20%), while beta-blockers and digoxin were the most used rate control drugs. Oral anticoagulants (OACs) were used in 80% overall, most often vitamin K antagonists (71.6%), with novel OACs being used in 8.4%. Other antithrombotics (mostly antiplatelet therapy, especially aspirin) were still used in one-third of the patients, and no antithrombotic treatment in only 4.8%. Oral anticoagulants were used in 56.4% of CHA 2DS2-VASc = 0, with 26.3% having no antithrombotic therapy. A high HAS-BLED score was not used to exclude OAC use, but there was a trend towards more aspirin use in the presence of a high HAS-BLED score. Conclusion: The EURObservational Research Programme Atrial Fibrillation (EORP-AF) Pilot Registry has provided systematic collection of contemporary data regarding the management and treatment of AF by cardiologists in ESC member countries. Oral anticoagulant use has increased, but novel OAC use was still low. Compliance with the treatment guidelines for patients with the lowest and higher stroke risk scores remains suboptimal.

AB - Aims: Given the advances in atrial fibrillation (AF) management and the availability of new European Society of Cardiology (ESC) guidelines, there is a need for the systematic collection of contemporary data regarding the management and treatment of AF in ESC member countries. Methods and results: We conducted a registry of consecutive in- and outpatients with AF presenting to cardiologists in nine participating ESC countries. All patients with an ECG-documented diagnosis of AF confirmed in the year prior to enrolment were eligible. We enroled a total of 3119 patients from February 2012 to March 2013, with full data on clinical subtype available for 3049 patients (40.4% female; mean age 68.8 years). Common comorbidities were hypertension, coronary disease, and heart failure. Lone AF was present in only 3.9% (122 patients). Asymptomatic AF was common, particularly among those with permanent AF. Amiodarone was the most common antiarrhythmic agent used (~20%), while beta-blockers and digoxin were the most used rate control drugs. Oral anticoagulants (OACs) were used in 80% overall, most often vitamin K antagonists (71.6%), with novel OACs being used in 8.4%. Other antithrombotics (mostly antiplatelet therapy, especially aspirin) were still used in one-third of the patients, and no antithrombotic treatment in only 4.8%. Oral anticoagulants were used in 56.4% of CHA 2DS2-VASc = 0, with 26.3% having no antithrombotic therapy. A high HAS-BLED score was not used to exclude OAC use, but there was a trend towards more aspirin use in the presence of a high HAS-BLED score. Conclusion: The EURObservational Research Programme Atrial Fibrillation (EORP-AF) Pilot Registry has provided systematic collection of contemporary data regarding the management and treatment of AF by cardiologists in ESC member countries. Oral anticoagulant use has increased, but novel OAC use was still low. Compliance with the treatment guidelines for patients with the lowest and higher stroke risk scores remains suboptimal.

KW - Anticoagulation

KW - Atrial fibrillation

KW - Registry

KW - Risk scores

UR - http://www.scopus.com/inward/record.url?scp=84895729096&partnerID=8YFLogxK

U2 - 10.1093/europace/eut373

DO - 10.1093/europace/eut373

M3 - Article

C2 - 24351881

AN - SCOPUS:84895729096

SN - 1099-5129

VL - 16

SP - 308

EP - 319

JO - Europace

JF - Europace

IS - 3

ER -