Accès ouvert déclaré
2021
article
Clinical utility and prognostic implications of the novel 4S-AF scheme to characterize and evaluate patients with atrial fibrillation: a report from ESC-EHRA EORP-AF Long-Term General Registry
Wern Yew Ding, Marco Proietti, Giuseppe Boriani, Laurent Fauchier, Carina Blomström‐Lundqvist, Francisco Marı́n, Tatjana Potpara, Gregory Y.H. Lip, G Y H Lip, L Tavazzi, Aldo P. Maggioni, G-A Dan, T Potpara, Michael Näbauer, Z Kalarus, L Fauchier, G Mairesse, L Antoniades, M Taborsky, I García Bolao, K Etsadashvili, E Simantirakis, Moti Haim, Amirhossein Azhari, J Najafian, M Santini, E Mirrakhimov, K a Kulzida, A Erglis, Lidija Poposka, Harry J. Crijns, D Atar, Radosław Lenarczyk, Mário Oliveira, D Shah, E Serdechnaya, E Diker, G Y H Lip, D Lane, E Zëra, U Ekmekçiu, V Paparisto, M Tase, H Gjergo, J Dragoti, M Ciutea, N. Ahadi, Ziad El Husseini, M. Raepers, J Leroy, P Haushan, A Jourdan, C Lepiece, L Desteghe, Johan Vijgen, Pieter Koopman, G Van Genechten, H Heidbuchel, Tim Boussy, M De Coninck, Hannelore Van Eeckhoutte, N Bouckaert, Alain Friart, J. Boreux, C Arend, P Evrard, L Stefan, E Hoffer, J. Herzet, M Massoz, C Celentano, Muriel Sprynger, Luc Piérard, P Melon, B Van Hauwaert, C Kuppens, Dirk Faes, Dirk van Lier, A. Van Dorpe, A. Gerardy, Olivier Deceuninck, Olivier Xhaët, Fabien Dormal, Elisabeth Ballant, Dominique Blommaert, D. Yakova, Mihail Hristov, T Yncheva, N Stancheva, S. Tisheva, Mariya Tokmakova, F Nikolov, D Gencheva, B Kunev, M Stoyanov, D Marchov, V Gelev, Vassil Traykov, Аntoniya Kisheva, H Tsvyatkov, R Shtereva, S Bakalska-Georgieva, S Slavcheva, Y Yotov, Milena Kubíčková, A Marni Joensen, Anders Gammelmark, L Hvilsted Rasmussen, P Dinesen, Stine Krogh Venø, B Sorensen, A Korsgaard, Karl Andersen, C Fragtrup Hellum, Anne Louise Vandsø Svenningsen, Ole Nyvad, P Wiggers, O May, A Aarup, B Graversen, L Jensen, M Andersen, M Svejgaard, S Vester, S Hansen, Vibeke Lynggaard, M Ciudad, R Vettus, A Maestre, S Castaño, S. Cheggour, J Poulard, V Mouquet, S Leparrée, J Bouet, Julien Taı̈eb, A Doucy, H Duquenne, Alain Furber, Jean‐Marc Dupuis, J Rautureau, M Font, P. Damiano, M Lacrimini, Jérôme Abaléa, S Boismal, T Menez, J Mansourati, Grégoire Rangé, Hervé Gorka, C Laure, C Vassalière, N Elbaz, Nicolas Lellouche, K. Djouadi, F Roubille, D Dietz, Jean‐Marc Davy, M Granier, P Winum, C Leperchois-Jacquey, H Kassim, Éloi Marijon, J Le Heuzey, J. Fedida, Carole Maupain, C Himbert, Estelle Gandjbakhch, Françoise Hidden‐Lucet, Guillaume Duthoit, N Badenco, Thomas Chastre, X Waintraub, M Oudihat, J Lacoste, Christoph Stephan, H Bader, N Delarche, L. Giry, D Arnaud, Camden Lopez, F Boury, I Brunello, Michael Lefevre, Rozenn Mingam, Michel Haı̈ssaguerre, M. Le Bidan, Dominique Pavin, Valérie Moal, Christophe Leclercq, T Beitar, I Martel, Anita N. Schmid, N Sadki, C Romeyer-Bouchard, Antoine Da Costa, I Arnault, Michael Boyer, C Piat, N Lozance, S Nastevska, Ana Doneva, B Fortomaroska Milevska, B Sheshoski, K Petroska, N Taneska, N Bakrecheski, K Lazarovska, Svetlana Jovevska, V Ristovski, A Antovski, E Lazarova, I Kotlar, Jane Taleski, Saško Kedev, N Zlatanovik, S Jordanova, T Bajraktarova Proseva, S Doncovska, D Maisuradze, A Esakia, E Sagirashvili, K Lartsuliani, N Natelashvili, N Gumberidze, R Gvenetadze, N Gotonelia, N Kuridze, Giorgi Papiashvili, I Menabde, S Glöggler, Andreas Napp, Corinna Lebherz, H Romero, Karl-Heinz Schmitz, Marc Moritz Berger, Matthias Daniel Zink, S Köster, J Sachse, E Vonderhagen, G Soiron, Karl Mischke, R Reith, Matthias Schneider, Werner Rieker, D Boscher, A Taschareck, Abigail J. Beer, D Oster, Oliver Ritter, J Adamczewski, Sabine Walter, A Frommhold, E. Luckner, Jannik Richter, M Schellner, Sharon Schilling Landgraf, S Bartholome, Ralph Naumann, J Schoeler, D Westermeier, F William, Kenneth Wilhelm, M Maerkl, R Oekinghaus, M Denart, M Kriete, Ulrich Tebbe, T. Scheibner, Michael P. Gruber, Anthony T. Gerlach, C Beckendorf, Lars Anneken, Markus Arnold, S Lengerer, Z Bal, C Uecker, H Förtsch, S Fechner, V Mages, Eimo Martens, Heiko Methe, Thomas Schmidt, B Schaeffer, B Hoffmann, J. Moser, K Heitmann, S Willems, C. Klaus, I.R. Lange, Muhammed Bahaddin Durak, E Esen, Frank Mibach, H Mibach, A Utech, M Gabelmann, Ralf Stumm, V Ländle, C. Gärtner, C Goerg, N Kaul, S Messer, D Burkhardt, Christian Sander, R Orthen, S Kaes, Anselm T. Bäumer, F Dodos, A Barth, G. Schaeffer, Jan Gaertner, J Winkler, A Fahrig, J Aring, I. Wenzel, S Steiner, A Kliesch, Ewa Maria Kratz, K Winter, P Schneider, Aaron Haag, I Mutscher, Ralph Bosch, Jens Taggeselle, S Meixner, A Schnabel, A Shamalla, H Hötz, A. Korinth, C Rheinert, G Mehltretter, B Schön, N Schön, A Starflinger, E Englmann, G Baytok, T Laschinger, Guido Ritscher, A Gerth, Dirk G. Dechering, Lars Eckardt, M Kuhlmann, N Proskynitopoulos, J Brunn, K Foth, C. Axthelm, H Hohensee, K Eberhard, S Turbanisch, N. Hassler, A. Koestler, G Stenzel, D. Kschiwan, M Schwefer, S Neiner, S Hettwer, M Haeussler-Schuchardt, Ralf Degenhardt, S Sennhenn, S Steiner, M Brendel, Albrecht Stoehr, W Widjaja, S Loehndorf, A Logemann, J Hoskamp, J Grundt, Michael S. Block, R Ulrych, Anja Reithmeier, V Panagopoulos, C Martignani, Davide Bernucci, E Fantecchi, Igor Diemberger, Matteo Ziacchi, Mauro Biffi, Paolo Cimaglia, J Frisoni, I. Giannini, Serena Boni, Stefano Fumagalli, Simone Pupo, A Di Chiara, P. Mirone, Francesca Pesce, Carmine Zoccali, V L Malavasi, A Mussagaliyeva, B Ahyt, Z Salihova, K Koshum-Bayeva, Alina Kerimkulova, A Bairamukova, B Lurina, R Zuzans, S Jegere, Iveta Mintāle, K Kupics, Kristīne Jubele, Oskars Kalējs, K Vanhear, M Cachia, E. Abela, S Warwicker, Trevor Tabone, R Xuereb, D Asanovic, D Drakalovic, M. Vukmirovic, N Pavlovic, Ljilja Musić, N Bulatovic, A Boskovic, H Uiterwaal, N Bijsterveld, Jan Cees de Groot, Jolien Neefs, N van den Berg, Femke R. Piersma, A Wilde, Vincent E. Hagens, Jan van Es, Jurren M. van Opstal, B Van Rennes, H Verheij, W Breukers, Geert Tjeerdsma, R. Nijmeijer, D. Wegink, R Binnema, S.A.M. Said, S Philippens, W van Doorn, Tamás Szili‐Törok, Rohit E. Bhagwandien, P. Janse, A Muskens, Martijn van Eck, R. Gevers, N van der Ven, A. Duygun, Braim M. Rahel, Joan G. Meeder, A Vold, C Holst Hansen, I Engset, Dan Atar, B Dyduch-Fejklowicz, E Koba, Monika Cichocka, Adam Sokal, Andrzej Kubicius, E Pruchniewicz, A Kowalik-Sztylc, W Czapla, Iwona Mróz, Maciej Kozłowski, T Pawlowski, Michał Tendera, A Winiarska-Filipek, A Fidyk, A Slowikowski, Maciej Haberka, M Lachor-Broda, M Biedron, Z Gasior, M Kołodziej, Marianna Janion, I Gorczyca-Michta, B Wozakowska-Kaplon, M Stasiak, Piotr Jakubowski, T Ciurus, M. Simiera, Przemysław Zając, Tomasz Wcisło, P Zycinski, Jarosław D. Kasprzak, Anna Olejnik, E Harc-Dyl, J Miarka, M. Pasieka, M Ziemińska-Łuć, W Bujak, Anthony J. Sliwinski, A Grech, Jacek Morka, K Petrykowska, M Prasał, Grzegorz Hordyński, Piotr Feusette, Przemysław Lipski, A Wester, W Streb, Janusz Romanek, P Woźniak, M Chlebuś, P Szafarz, W. Stanik, M Zakrzewski, J Kaźmierczak, A Przybylska, E Skorek, H. Błaszczyk, M Stępień, S Szabowski, Waldemar Krysiak, M Szymańska, J. Karasiński, J. Blicharz, M Skura, K Hałas, L Michalczyk, Zbigniew Orski, K Krzyżanowski, Andrzej Skrobowski, L Zieliński, Monika Tomaszewska‐Kiecana, Mirosław Dłużniewski, M Kiliszek, M Peller, Monika Budnik, Paweł Balsam, Grzegorz Opolski, Agata Tymińska, Krzysztof Ozierański, A Wancerz, Agnieszka Borowiec, E Majos, Rafał Dąbrowski, H. Szwed, A. Musialik-Lydka, A Leopold-Jadczyk, E Jedrzejczyk-Patej, Monika Kozieł, Michał Mazurek, K Krzemien-Wolska, P Starosta, E Nowalany-Kozielska, Aleksandra Orzechowska, M Szpot, M Staszel, S Almeida, Hélder Pereira, L Brandão Alves, Rita de Cássia Mendonça de Miranda, Laura Carrara Ribeiro, Carnaxide F Costa, F Morgado, Plínio Resende do Carmo, P Galvao Santos, R Bernardo, Pedro Adragão, G Ferreira da Silva, Matheus de Carvalho Sales Peres, Marta Alves, M Leal, A Cordeiro, Pedro Magalhães, Paulo Fontes, S Leão, A Delgado, Bruno Marmelo, Bruno Rodrigues, D. Moreira, José Santos, Luís Graça Santos, A Terchet, D Darabantiu, S Mercea, V Turcin Halka, A Pop Moldovan, A Gábor, B Doka, G Catanescu, H Rus, L Oboroceanu, Elena Bobescu, Raluca Popescu, A Dan, A Buzea, I. Daha, G. Dan, I. Neuhoff, M Baluta, R Ploesteanu, N Dumitrache, M. Vintila, A Daraban, C. Japie, Elisabeta Bădilă, H Tewelde, Mihaela Hostiuc, S. Frunza, E Tintea, D. Bartos, A Ciobanu, I Popescu, N Toma, C Gherghinescu, D Cretu, Natalia Pătraşcu, Claudiu Stoicescu, Cristian Alexandru Udroiu, G Bicescu, V Vintila, Dragoş Vinereanu, Mircea Cintezǎ, R Rimbas, M. Grecu, A Cozma, F Boros, M Ille, Otilia Țica, R Tor, A Corina, A Jeewooth, Beatrice De Maria, C Georgiana, D Alin, D Dinu-Andrei, M Livia, R Daniela, R Larisa, S Umaar, T Tamara, M Ioachim Popescu, Daciana Nistor, O Coborosanu, N Alina-Ramona, R Dan, Lucian Petrescu, G Ionescu, Cristina Văcărescu, E Goanta, M Mangea, Adina Ionac, C Mornos, Dragoș Cozma, S. Pescariu, E Solodovnicova, I. Soldatova, J Shutova, L Tjuleneva, T Zubova, V Uskov, Д. К. Обухов, G Rusanova, N Isakova, S Odinsova, T. Arhipova, Е. В. Казакевич, O Zavyalova, T Novikova, I Riabaia, S Zhigalov, E. Drozdova, I. Luchkina, Y Monogarova, D. Hegya, L Rodionova, В. А. Невзорова, O Lusanova, A Arandjelovic, D. Toncev, L Vukmirovic, Miša Radisavljević, M Milanov, Nikola Šekularac, M Zdravkovic, S Hinic, S Dimkovic, T Acimovic, J. Saric, S. Radovanović, Aleksandar Kocijančić, B Obrenovic-Kircanski, D Kalimanovska Ostric, D Simic, Ivan Jovanović, Ivana Petrović, Marija Polovina, M. Vukicevic, M Tomasevic, Nataša Mujović, N Radivojevic, O Petrovic, S Aleksandric, V Kovacevic, Z Mijatovic, Branislava Ivanović, Arsen Ristić, B Vujisic-Tesic, Milan Nedeljković, A Karadzic, A Uscumlic, M Prodanovic, M. Zlatar, Milika Ašanin, B Bisenic, V Vasić, Zoran Popović, D Djikic, M Sipic, Velimir Perić, Božidar Dejanović, Nikola Milošević, S Backovic, A Stevanovic, Anita Andric, B Pencic, M Pavlovic-Kleut, Vera Celic, M Pavlovic, Mirko Petrović, M Vuleta, Nemanja Petrović, Stefan Simović, Z Savovic, S Milanov, Goran Davidović, Violeta Irić-Ćupić, D Djordjevic, M Damjanovic, S Zdravkovic, V Topic, D Stanojevic, M. Randjelovic, R Jankovic-Tomasevic, V Atanaskovic, S Antic, D. Simonovic, Milovan Stojanović, S Stojanovic, V Mitic, Vesna Ilić, Dejan Petrović, M Deljanin Ilic, S. Ilić, V Stoickov, Sanja Mijatović, D. Tanasic, G. Radakovic, J Peranovic, N Panic-Jelic, O Vujadinovic, P Pajic, Sanja Bekić, Sanjin Kovačević, A García Fernandez, A Perez Cabeza, M Anguita, E. Mau, J Loayssa, M. Ayarra, M Carpintero, Inmaculada Roldán Rabadán, M. Gil Ortega, A Tello Montoliu, E Orenes Piñero, Sergio Manzano‐Fernández, F Marín, A Romero Aniorte, A Veliz Martínez, M Quintana Giner, Gabriel Ballesteros, M Palacio, Óscar Alcalde, Ignacio García‐Bolao, Vicente Bertomeu‐González, F Otero-Raviña, J García Seara, J Gonzalez Juanatey, N Dayal, P Maziarski, Pascale Gentil-Baron, Mevlüt Koç, E Onrat, İbrahim Etem Dural, Kerem Can Yılmaz, Bülent Özin, S Tan Kurklu, Y Atmaca, Uğur Canpolat, Lâle Tokgözoğlu, Abdullah Kadir Dolu, B Demirtas, D. Sahin, O Ozcan Celebi, G Gagirci, Uğur Önsel Türk, H Ari, Nihat Polat, N Toprak, Murat Sucu, Osman Akın Serdar, A Taha Alper, A Kepez, Yasin Yüksel, A Uzunselvi, Serkan Yüksel, M Sahin, Özgür ÖZCAN, Hasan Kaya, Mehmet Birhan Yılmaz, M Kutlu, Muhammed Demir, Charlotte Gibbs, S Kaminskiene, M Bryce, A Skinner, G Belcher, James Hunt, L. Stancombe, B Holbrook, Catherine Peters, S Tettersell, A Shantsila, Keitaro Senoo, K Russell, Pedro Rauel Cândido Domingos, Syed Nubaid Hussain, Judith Partridge, R Haynes, S Bahadur, R.F. Brown, Susan D. McMahon, G Y H Lip, J.A. McDonald, Kartik Balachandran, Ranjit D. Singh, Scot Garg, Himanshu Desai, Kelvin J.A. Davies, W Goddard, Gavin Galasko, I Rahman, Yeow Leng Chua, O Payne, S Preston, O. Brennan, L. Pedley, Catharine Whiteside, C. J. Dickinson, Jenifer M. Brown, K Jones, L Benham, R Brady, L Buchanan, A Ashton, Helen Crowther, Helen Fairlamb, S Thornthwaite, C Relph, A McSkeane, Una Poultney, N Kelsall, P. Rice, Tom Wilson, M Wrigley, Riyaz A. Kaba, T Patel, Emma Young, J Law, C Runnett, H. Thomas, H McKie, J Fuller, Sara Pick, Alexander Sharp, A Hunt, Kevin E. Thorpe, Claire Hardman, E Cusack, L Adams, Margaret R. Hough, Samantha Keenan, A Bowring, J Watts, J Zaman, Karolien Goffin, H Nutt, Y. Beerachee, J Featherstone, C Mills, J Pearson, L Stephenson, Shakira J. Grant, A Wilson, C Hawksworth, I Alam, Matthew K. Robinson, Sarah Ryan, R Egdell, E Gibson, M Holland, D Leonard, Brajesh Mishra, Salman Ahmad, Henry T. Randall, J Hill, Lynne Reid, M George, S. McKinley, L. Brockway, W Milligan, J Sobolewska, James Muir, L Tuckis, L Winstanley, P Jacob, S Kaye, L Morby, A Jan, T Sewell, Christopher J. Boos, B Wadams, Constantin Cope, P Jefferey, Noah Andrews, Allyson K. Getty, Anne Suttling, C. Turner, Kathleen Hudson, R. Marshall Austin, S Howe, Rabia Iqbal, N Gandhi, K Brophy, P. Mirza, E Willard, S Collins, Ntokozo Ndlovu, Eduardas Subkovas, V. Karthikeyan, L. Waggett, Amanda Wood, A Bolger, J. Stockport, L Evans, Ece Harman, Jennifer Starling, L Williams, V Saul, Michael S. Sinha, L. Bell, S Tudgay, S. Kemp, Lars Frost, T Ingram, Anita M. Loughlin, Casey Adams, Matthew Adams, F Hurford, Clarence H. Owen, Chris Miller, D Donaldson, Helen Tivenan, H Button, A Nasser, O Jhagra, B Stidolph, C Brown, Churchill Livingstone, Merry Duffy, P Madgwick, P. Roberts, Elizabeth Greenwood, L Fletcher, M Beveridge, S Earles, David J. McKenzie, D. Beacock, Mark Dayer, M Seddon, D Greenwell, F Luxton, F Venn, H Mills, J Rewbury, K James, K Roberts, L Tonks, D Felmeden, W Taggu, A Summerhayes, D Hughes, J Sutton, L Felmeden, Mohammad Khan, E Walker, L Norris, L O'Donohoe, Abdul Mozid, Harvey Dymond, Hannah Lloyd-Jones, G. Saunders, David N. Simmons, D. R. Coles, D Cotterill, S Beech, Stephen Kidd, Benjamin Wrigley, Sanjiv Petkar, Andrew Smallwood, R Jones, E Radford, Sarah Milgate, Stella Metherell, V Cottam, C Buckley, A Broadley, D Wood, J Allison, K Rennie, L. Balian, L Howard, L Pippard, S Board, T Pitt-Kerby
22Citations signalées — pas une note de qualité
14Institutions déclarées
7Pays d’affiliation déclarés
Résumé fourni par la source
AIMS: The 4S-AF classification scheme comprises of four domains: stroke risk (St), symptoms (Sy), severity of atrial fibrillation (AF) burden (Sb), and substrate (Su). We sought to examine the implementation of the 4S-AF scheme in the EORP-AF General Long-Term Registry and compare outcomes in AF patients according to the 4S-AF-led decision-making process. METHODS AND RESULTS: Atrial fibrillation patients from 250 centres across 27 European countries were included. A 4S-AF score was calculated as the sum of each domain with a maximum score of 9. Of 6321 patients, 8.4% had low (St), 47.5% EHRA I (Sy), 40.5% newly diagnosed or paroxysmal AF (Sb), and 5.1% no cardiovascular risk factors or left atrial enlargement (Su). Median follow-up was 24 months. Using multivariable Cox regression analysis, independent predictors of all-cause mortality were (St) [adjusted hazard ratio (aHR) 8.21, 95% confidence interval (CI): 2.60-25.9], (Sb) (aHR 1.21, 95% CI: 1.08-1.35), and (Su) (aHR 1.27, 95% CI: 1.14-1.41). For CV mortality and any thromboembolic event, only (Su) (aHR 1.73, 95% CI: 1.45-2.06) and (Sy) (aHR 1.29, 95% CI: 1.00-1.66) were statistically significant, respectively. None of the domains were independently linked to ischaemic stroke or major bleeding. Higher 4S-AF score was related to a significant increase in all-cause mortality, CV mortality, any thromboembolic event, and ischaemic stroke but not major bleeding. Treatment of all 4S-AF domains was associated with an independent decrease in all-cause mortality (aHR 0.71, 95% CI: 0.55-0.92). For each 4S-AF domain left untreated, the risk of all-cause mortality increased substantially (aHR 1.35, 95% CI: 1.16-1.56). CONCLUSION: Implementation of the novel 4S-AF scheme is feasible, and treatment decisions based on this scheme improve mortality rates in AF.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Clinical utility and prognostic implications of the novel 4S-AF scheme to characterize and evaluate patients with atrial fibrillation: a report from ESC-EHRA EORP-AF Long-Term General Registry
- Date Crossref
- 22/11/2021
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude et ne compte pas comme une seconde source scientifique indépendante.
Institutions déclarées
Une affiliation ne permet pas de déduire la nationalité d’un auteur.
Sujets associés
Atrial Fibrillation Management and OutcomesCardiovascular Disease and AdiposityAcute Ischemic Stroke Management