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Does rhythm matter in acute heart failure? An insight from the British Society for Heart Failure National Audit.

Mamas

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Abstract

BACKGROUND: Atrial fibrillation (AF) is the most common sustained arrhythmia in patients with acute heart failure (AHF). The presence of AF is associated with adverse prognosis in patients with chronic heart failure (CHF) but little is known about its impact in AHF.

METHODS: Data were collected between April 2007 and March 2013 across 185 (>?95%) hospitals in England and Wales from patients with a primary death or a discharge diagnosis of AHF. We investigated the association between the presence of AF and all-cause mortality during the index hospital admission, at 30 days and 1 year post-discharge.

RESULTS: Of 96,593 patients admitted with AHF, 44,642 (46%) were in sinus rhythm (SR) and 51,951 (54%) in AF. Patients with AF were older (mean age 79.8 (79.7-80) versus 74.7 (74.5-74.7) years; p?<?0.001), than those in SR. In a multivariable analysis, AF was independently associated with mortality at all time points, in hospital (HR 1.15, 95% CI 1.09-1.21, p?<?0.0001), 30 days (HR 1.13, 95% CI 1.08-1.19, p?<?0.0001), and 1 year (HR 1.09, 95% CI 1.05-1.12, p?<?0.0001). In subgroup analyses, AF was independently associated with worse 30-day outcome irrespective of sex, ventricular phenotype and in all age groups except in those aged between 55 and 74 years.

CONCLUSION: AF is independently associated with adverse prognosis in AHF during admission and up to 1 year post-discharge. As the clinical burden of concomitant AF and AHF increases, further refinement in the detection, treatment and prevention of AF-related complications may have a role in improving patient outcomes.

Acceptance Date Mar 19, 2019
Publication Date Apr 8, 2019
Publicly Available Date Mar 28, 2024
Journal Clinical Research in Cardiology
Print ISSN 0300-5860
Publisher Springer Verlag
DOI https://doi.org/10.1007/s00392-019-01463-5
Keywords acute heart failure, atrial fibrillation, prognosis, mortality
Publisher URL https://doi.org/10.1007/s00392-019-01463-5

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