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Aims To describe atrial fibrillation (AF) management in member countries of the European Society of Cardiology (ESC) and to verify cardiology practices against guidelines. Methods and results Among 182 hospitals in 35 countries, 5333 ambulant and hospitalized AF patients were enrolled, in 2003 and 2004. AF was primary or secondary diagnosis, and was confirmed on ECG in the preceding 12 months. Clinical type of AF was reported to be first detected in 978, paroxysmal in 1517, persistent in 1167, and permanent in 1547 patients. Concomitant diseases were present in 90% of all patients, causing risk factors for stroke to be also highly prevalent (86%). As many as 69% of patients were symptomatic at the time of the survey; among asymptomatic patients, 54% were previously experienced symptoms. Oral anticoagulation was prescribed in 67 and 49% of eligible and ineligible patients, respectively. A rhythm control strategy was applied in 67% of currently symptomatic patients and in 44% of patients who never experienced symptoms. Conclusion This survey provides a unique snapshot of current AF management in ESC member countries. Discordance between guidelines and practice was found regarding several issues on stroke prevention and antiarrhythmic therapy.

Atrial fibrillation management: a prospective survey in ESC member countries / Baciarello, Giacinto; Cicconetti, Paolo; Armenia: S. V., Grigoryan; I., Apetyan; S., Aroyan; L., Azarapetyan; Austria: Anahit, Anvari; Michael Gottsauner, Wolf; Stefan, Pfaffenberger; Kurt, Huber; Kadriye, Aydinkoc; Karim, Kalla; Martina, Penka; Heinz, Drexel; Peter, Langer; Belgium: Luc A., Pierard; Victor, Legrand; Dominique, Blommaert; E., Schroeder; Isabelle, Mancini; William, Wijns; P., Geelen; P., Brugada; Marc De, Zutter; Christiaan, Vrints; Marc, Vercammen; Marielle, Morissens; Bulgaria: Borislav Boyanov, Borisov; Valentin Asenov, Petrov; Maria Marinova, Alexandrova; Assen Rachev, Goudev; Vera, Sirakova; Yavor, Peychev; Vassil, Stoyanovsky; Evgeni, Stoynev; Croatia: Stjepan, Kranjcevic; Cyprus: Joseph Moutiris, Marios Ioannides; Switzerland: Dominique, Evequoz; Czech Republic: Jaroslava, Spacilova; Roman, Cerbak; Miroslav, Novak; Martin, Eisenberger; Jolana, Mullerova; Josef, Kautzner; Lucie, Riedlbauchova; Jan, Petru`; Milos, Taborsky; Denmark: Per Thayssen, Helle Cappelen; Egypt: Yasser A., Sharaf; B. S. S., Ibrahim; Khalid, Tammam; Aly, Saad; Helmy, Elghawaby; Hamed Zaky, Sherif; Heba, Farouk; Germany: D., Andresen; Arlett, Mielke; Gunter, Breithardt; Markus, Engelen; Paulus, Kirchhof; Pia, Zimmermann; Spain: F., Fernandez Aviles; Jeronimo, Rubio; F., Malpartida; M., Corona; Luis Tercedor, Sanchez; Jose Miguel Lozano, Herrera; Aurelio, Quesada; Antonio J., Munoz Garcia; Carlos Sanchez, Gonzalez; M., Soledad Alcasena Juango; Jesus Berjon, Reyero; Josep M., Alegret; J. M., Cruz Fernandez; Cesar Carrascosa, Rosillo; Antonio Fernandez, Romero; Miguel Gonza´lez, Lara; Jose´ L., Lopez Sendon; Jose´ Juan Gomez de, Diego; Luis Sosa, Martin; Maria, Irurita; Norbero Herrera, Guttierez; Juan Ramon Siles, Rubio; Isabel, Antorrena; Alicia Bautista, Paves; Antonio, Salvador; Maria Dolores, Orriach; A., Alonso Garcia; Francisco, Epelde; Vicente Bertomeu, Martinez; Antonio Berruezo, Sanchez; Carlos Pinero, Galvez; Rafael Fernandez, Rivero; Antonio Hernandez, Madrid; Gonzalo Baron, Esquivias; Rafael, Peinado; Jose´ Antonio Gomez, Guindal; Tomas Ripoll, Vera; Emilio Luengo, Fernandez; Ricardo, Gayan; Javier, Garcia; Andres, Bodegas; Jesus Toril, Lopez; Julio Martinez, Florez; Cristobal Lozano, Cabezas; Eduardo Vazquez Ruiz de, Castroviejo; Juan Munoz, Bellido; Maria Eugenia, Ruiz; Finland: Seppo, Lehto; Kirsti, Savolainen; Markku, Nieminen; Lauri, Toivonen; Mikko, Syvanne; Mervi, Pietila; France: Daniel, Galley; Christine, Beltra; Samuel, Le´vy; Alain, Gay; J. C., Daubert; Guillaume, Lecocq; Christine, Poulain; United Kingdom: J. G. F. C., Cleland; Rhidian, Shelton; G. Y. H., Lip; A., Choudhury; Georgia: Gulnara Abuladze, Irina Jashi; Greece: Dennis V., Cokkinos; Anastasia, Tsiavou; G., Giamouzis; N., Dagres; A., Kostopoulou; Domproglou, Tsoutsanis; Stefanadis, C. h.; George, Latsios; Ioannis, Vogiatzis; Alexandros, Gotsis; Paraskevi, Bozia; Maria, Karakiriou; Spyridon, Koulouris; John, Parissis; George, Kostakis; Nikos, Kouris; Dimitra, Kontogianni; Koutroubas, Athanasios; Alexandros, Douras; Themistoklis, Tsanakis; Panos, Vardas; Mary, Marketou; Nikolaos, Patsourakos; Hungary: Laszlo, Czopf; Robert, Halmosi; Istvan, Pre´da; Eva, Csoti; Andrea, Badics; Israel: Boris, Strasberg; Nahum A., Freedberg; Amos, Katz; Eli, Zalzstein; Aviva, Grosbard; E., Goldhammer; Menachem, Nahir; Menashe, Epstein; Ida, Vider; David, Luria; Lori, Mandelzweig; Italy: Bruno, Aloisi; Alfio, Cavallaro; Emanuele, Antonielli; Baldassarre, Doronzo; Diego, Pancaldo; Carlo, Mazzola; Liliana, Buontempi; Valeria, Calvi; Giuseppe, Giuffrida; Antonino, Figlia; Francesco, Ippolito; Gian Paolo, Gelmini; N., Gaibazzi; Virgilio, Ziacchi; Francesco De, Tommasi; Federico, Lombardi; Cesare, Fiorentini; Paolo, Terranova; Pietro, Maiolino; Muhamad, Albunni; Plinio Pinna, Pintor; Stefano, Fumagalli; Guilio, Masotti; Lorenzo, Boncinelli; Domenico, Rossi; Giovanni Maria, Santoro; Massimo, Fioranelli; Franco, Naccarella; Stefano Sdringola, Maranga; Giovannina, Lepera; Barbara, Bresciani; Elena, Seragnoli; Mara Cantelli, Forti; Valentina, Cortina; Giacinto, Baciarello; Paolo, Cicconetti; Antonio, Lax; Federica, Vitali; Diran, Igidbashian; Luisa, Scarpino; Sergio, Terrazzino; Luigi, Tavazzi; Francesco, Cantu; Francesco, Pentimalli; Salvatore, Novo; Giuseppe, Coppola; Gianluca, Zingarini; Giuseppe, Ambrozio; Paolo, Moruzzi; Sergio, Callegari; Gabriele, Saccomanno; Paolo, Russo; Emanuele, Carbonieri; Anna, Paino; Marco, Zanetta; Enzo, Barducci; Roberto, Cemin; Werner, Rauhe; Walter, Pitscheider; Marina, Meloni; Sergio Mariano, Marchi; Marco Di, Gennaro; Sergio, Calcagno; Paola, Squaratti; Francesco, Quartili; Patrizia, Bertocchi; Mario De, Martini; Giuseppe, Mantovani; Roman, Komorovsky; Alessandro, Desideri; Leopoldo, Celegon; Luigi, Tarantini; Giuseppe, Catania; Donata, Lucci; Francesca, Bianchini; Lithuania: Aras, Puodziukynas; Ausra, Kavoliuniene; Vilija, Barauskiene; Audrius, Aidietis; Jurate, Barysiene; Vitas, Vysniauskas; Irena, Zukauskiene; Nijole, Kazakeviciene; Macedonia: Ljubica Georgievska Ismail, Lidija Poposka; Moldova: Eleonora Vataman, Aurel A. Grosu; The Netherlands: Wilma Scholte op, Reimer; Esther de, Swart; Mattie, Lenzen; Jaap, Deckers; Chris, Jansen; Ritzo, Brons; Henriette, Tebbe; D. C. A., van Hoogenhuyze; M. J., Veerhoek; Maria, Kamps; D., Haan; Nitolanda van, Rijn; Annette, Bootsma; Leo, Baur; Adrie van den, Dool; Harry, Crijns; Robby, Nieuwlaat; Heidi, Fransen; Luc, Eurlings; Joan, Meeder; M. J., De Boer; Jobst, Winter; Herman, Broers; Chris, Werter; M., Bijl; Saskia, Versluis; Poland: Malgorzata, Milkowska; Beata Wozakowska, Kaplon; Marianna, Janion; Lidia, Lepska; Grazyna, Swiatecka; Piotr, Kokowicz; Jacek, Cybulski; Aleksandr, Gorecki; Marcin, Szulc; Jerzy, Rekosz; Rafal, Manczak; Anna Maria Wnuk, Wojnar; M., Trusz Gluza; Anna Rybicka, Musialik; Jaroslaw, Myszor; Michal, Szpajer; Krzysztof, Cymerman; Jerzy, Sadowski; Maria Sniezek, Maciejewska; Mariola Ciesla, Dul; Izabela Gorkiewicz, Kot; Tomasz, Grodzicki; Krzysztof, Rewiuk; Leszek, Kubik; Jacek, Lewit; Portugal: Joao Manuel Frazao Rodrigues de, Sousa; Rafael, Ferreira; Antonio, Freitas; Joao Carlos Araujo, Morais; Rui, Pires; M. J., Veloso Gomes; Paula, Gago; Rui Alexandre C., Candeias; Luis, Nunes; Joao Vitor Miranda, Sa; Miguel, Ventura; Mario de, Oliveira; Luis Brandao, Alves; Romania: Ioan, Bostaca; Codin T., Olariu; G. A., Dan; Anca, Dan; Cristian, Podoleanu; Attila, Frigy; George I. M., Georgescu; Catalina, Arsenescu; Cristian, Statescu; Radu, Sascau; Dan L., Dimitrascu; Raluca, Rancea; Russian Federation: Yuri V., Shubik; Dmitry, Duplyakov; Marina, Shalak; Vyacheslav, Mareev; Marine, Danielyan; Albert, Galyavich; Venera, Zakirova; Slovakia: Robert, Hatala; Gabriela, Kaliska; Jan, Kmec; Slovenia: Igor, Zupan; Jerneja, Tasie`; Damijan, Vokac; org at Arcuri DFM 96 on April 27, Sweden: Nils 2432 R. Nieuwlaat Downloaded from e. u. r. h. e. a. r. t. j. o. x. f. o. r. d. j. o. u. r. n. a. l. s.; 2010, Edvardsson; Dritan, Poci; Tunisia: Habib Gamra, Hichem Denguir; Turkey: Tugrul, Okay; Ahmet, Sepetoglu; Alev Arat, Ozkan; Ukraine: Mariya, Orynchak; Elena, Paliy; I., Vakalyuk; Oleg, Sychov; David, Malidze; Rostyslav, Prog; Myckola Ivanovich, Yabluchansky; Nataliya Volodimirovna, Makienko; Serbia, ; Montenegro: Tatjana, Potpara; Sofija, Knezevic; Miomir, Randjelovic. - In: EUROPEAN HEART JOURNAL. - ISSN 0195-668X. - 26:(2005), pp. 2422-2434. [10.1093/eurheartj/ehi505]

Atrial fibrillation management: a prospective survey in ESC member countries

BACIARELLO, Giacinto;CICCONETTI, Paolo;
2005

Abstract

Aims To describe atrial fibrillation (AF) management in member countries of the European Society of Cardiology (ESC) and to verify cardiology practices against guidelines. Methods and results Among 182 hospitals in 35 countries, 5333 ambulant and hospitalized AF patients were enrolled, in 2003 and 2004. AF was primary or secondary diagnosis, and was confirmed on ECG in the preceding 12 months. Clinical type of AF was reported to be first detected in 978, paroxysmal in 1517, persistent in 1167, and permanent in 1547 patients. Concomitant diseases were present in 90% of all patients, causing risk factors for stroke to be also highly prevalent (86%). As many as 69% of patients were symptomatic at the time of the survey; among asymptomatic patients, 54% were previously experienced symptoms. Oral anticoagulation was prescribed in 67 and 49% of eligible and ineligible patients, respectively. A rhythm control strategy was applied in 67% of currently symptomatic patients and in 44% of patients who never experienced symptoms. Conclusion This survey provides a unique snapshot of current AF management in ESC member countries. Discordance between guidelines and practice was found regarding several issues on stroke prevention and antiarrhythmic therapy.
2005
01 Pubblicazione su rivista::01a Articolo in rivista
Atrial fibrillation management: a prospective survey in ESC member countries / Baciarello, Giacinto; Cicconetti, Paolo; Armenia: S. V., Grigoryan; I., Apetyan; S., Aroyan; L., Azarapetyan; Austria: Anahit, Anvari; Michael Gottsauner, Wolf; Stefan, Pfaffenberger; Kurt, Huber; Kadriye, Aydinkoc; Karim, Kalla; Martina, Penka; Heinz, Drexel; Peter, Langer; Belgium: Luc A., Pierard; Victor, Legrand; Dominique, Blommaert; E., Schroeder; Isabelle, Mancini; William, Wijns; P., Geelen; P., Brugada; Marc De, Zutter; Christiaan, Vrints; Marc, Vercammen; Marielle, Morissens; Bulgaria: Borislav Boyanov, Borisov; Valentin Asenov, Petrov; Maria Marinova, Alexandrova; Assen Rachev, Goudev; Vera, Sirakova; Yavor, Peychev; Vassil, Stoyanovsky; Evgeni, Stoynev; Croatia: Stjepan, Kranjcevic; Cyprus: Joseph Moutiris, Marios Ioannides; Switzerland: Dominique, Evequoz; Czech Republic: Jaroslava, Spacilova; Roman, Cerbak; Miroslav, Novak; Martin, Eisenberger; Jolana, Mullerova; Josef, Kautzner; Lucie, Riedlbauchova; Jan, Petru`; Milos, Taborsky; Denmark: Per Thayssen, Helle Cappelen; Egypt: Yasser A., Sharaf; B. S. S., Ibrahim; Khalid, Tammam; Aly, Saad; Helmy, Elghawaby; Hamed Zaky, Sherif; Heba, Farouk; Germany: D., Andresen; Arlett, Mielke; Gunter, Breithardt; Markus, Engelen; Paulus, Kirchhof; Pia, Zimmermann; Spain: F., Fernandez Aviles; Jeronimo, Rubio; F., Malpartida; M., Corona; Luis Tercedor, Sanchez; Jose Miguel Lozano, Herrera; Aurelio, Quesada; Antonio J., Munoz Garcia; Carlos Sanchez, Gonzalez; M., Soledad Alcasena Juango; Jesus Berjon, Reyero; Josep M., Alegret; J. M., Cruz Fernandez; Cesar Carrascosa, Rosillo; Antonio Fernandez, Romero; Miguel Gonza´lez, Lara; Jose´ L., Lopez Sendon; Jose´ Juan Gomez de, Diego; Luis Sosa, Martin; Maria, Irurita; Norbero Herrera, Guttierez; Juan Ramon Siles, Rubio; Isabel, Antorrena; Alicia Bautista, Paves; Antonio, Salvador; Maria Dolores, Orriach; A., Alonso Garcia; Francisco, Epelde; Vicente Bertomeu, Martinez; Antonio Berruezo, Sanchez; Carlos Pinero, Galvez; Rafael Fernandez, Rivero; Antonio Hernandez, Madrid; Gonzalo Baron, Esquivias; Rafael, Peinado; Jose´ Antonio Gomez, Guindal; Tomas Ripoll, Vera; Emilio Luengo, Fernandez; Ricardo, Gayan; Javier, Garcia; Andres, Bodegas; Jesus Toril, Lopez; Julio Martinez, Florez; Cristobal Lozano, Cabezas; Eduardo Vazquez Ruiz de, Castroviejo; Juan Munoz, Bellido; Maria Eugenia, Ruiz; Finland: Seppo, Lehto; Kirsti, Savolainen; Markku, Nieminen; Lauri, Toivonen; Mikko, Syvanne; Mervi, Pietila; France: Daniel, Galley; Christine, Beltra; Samuel, Le´vy; Alain, Gay; J. C., Daubert; Guillaume, Lecocq; Christine, Poulain; United Kingdom: J. G. F. C., Cleland; Rhidian, Shelton; G. Y. H., Lip; A., Choudhury; Georgia: Gulnara Abuladze, Irina Jashi; Greece: Dennis V., Cokkinos; Anastasia, Tsiavou; G., Giamouzis; N., Dagres; A., Kostopoulou; Domproglou, Tsoutsanis; Stefanadis, C. h.; George, Latsios; Ioannis, Vogiatzis; Alexandros, Gotsis; Paraskevi, Bozia; Maria, Karakiriou; Spyridon, Koulouris; John, Parissis; George, Kostakis; Nikos, Kouris; Dimitra, Kontogianni; Koutroubas, Athanasios; Alexandros, Douras; Themistoklis, Tsanakis; Panos, Vardas; Mary, Marketou; Nikolaos, Patsourakos; Hungary: Laszlo, Czopf; Robert, Halmosi; Istvan, Pre´da; Eva, Csoti; Andrea, Badics; Israel: Boris, Strasberg; Nahum A., Freedberg; Amos, Katz; Eli, Zalzstein; Aviva, Grosbard; E., Goldhammer; Menachem, Nahir; Menashe, Epstein; Ida, Vider; David, Luria; Lori, Mandelzweig; Italy: Bruno, Aloisi; Alfio, Cavallaro; Emanuele, Antonielli; Baldassarre, Doronzo; Diego, Pancaldo; Carlo, Mazzola; Liliana, Buontempi; Valeria, Calvi; Giuseppe, Giuffrida; Antonino, Figlia; Francesco, Ippolito; Gian Paolo, Gelmini; N., Gaibazzi; Virgilio, Ziacchi; Francesco De, Tommasi; Federico, Lombardi; Cesare, Fiorentini; Paolo, Terranova; Pietro, Maiolino; Muhamad, Albunni; Plinio Pinna, Pintor; Stefano, Fumagalli; Guilio, Masotti; Lorenzo, Boncinelli; Domenico, Rossi; Giovanni Maria, Santoro; Massimo, Fioranelli; Franco, Naccarella; Stefano Sdringola, Maranga; Giovannina, Lepera; Barbara, Bresciani; Elena, Seragnoli; Mara Cantelli, Forti; Valentina, Cortina; Giacinto, Baciarello; Paolo, Cicconetti; Antonio, Lax; Federica, Vitali; Diran, Igidbashian; Luisa, Scarpino; Sergio, Terrazzino; Luigi, Tavazzi; Francesco, Cantu; Francesco, Pentimalli; Salvatore, Novo; Giuseppe, Coppola; Gianluca, Zingarini; Giuseppe, Ambrozio; Paolo, Moruzzi; Sergio, Callegari; Gabriele, Saccomanno; Paolo, Russo; Emanuele, Carbonieri; Anna, Paino; Marco, Zanetta; Enzo, Barducci; Roberto, Cemin; Werner, Rauhe; Walter, Pitscheider; Marina, Meloni; Sergio Mariano, Marchi; Marco Di, Gennaro; Sergio, Calcagno; Paola, Squaratti; Francesco, Quartili; Patrizia, Bertocchi; Mario De, Martini; Giuseppe, Mantovani; Roman, Komorovsky; Alessandro, Desideri; Leopoldo, Celegon; Luigi, Tarantini; Giuseppe, Catania; Donata, Lucci; Francesca, Bianchini; Lithuania: Aras, Puodziukynas; Ausra, Kavoliuniene; Vilija, Barauskiene; Audrius, Aidietis; Jurate, Barysiene; Vitas, Vysniauskas; Irena, Zukauskiene; Nijole, Kazakeviciene; Macedonia: Ljubica Georgievska Ismail, Lidija Poposka; Moldova: Eleonora Vataman, Aurel A. Grosu; The Netherlands: Wilma Scholte op, Reimer; Esther de, Swart; Mattie, Lenzen; Jaap, Deckers; Chris, Jansen; Ritzo, Brons; Henriette, Tebbe; D. C. A., van Hoogenhuyze; M. J., Veerhoek; Maria, Kamps; D., Haan; Nitolanda van, Rijn; Annette, Bootsma; Leo, Baur; Adrie van den, Dool; Harry, Crijns; Robby, Nieuwlaat; Heidi, Fransen; Luc, Eurlings; Joan, Meeder; M. J., De Boer; Jobst, Winter; Herman, Broers; Chris, Werter; M., Bijl; Saskia, Versluis; Poland: Malgorzata, Milkowska; Beata Wozakowska, Kaplon; Marianna, Janion; Lidia, Lepska; Grazyna, Swiatecka; Piotr, Kokowicz; Jacek, Cybulski; Aleksandr, Gorecki; Marcin, Szulc; Jerzy, Rekosz; Rafal, Manczak; Anna Maria Wnuk, Wojnar; M., Trusz Gluza; Anna Rybicka, Musialik; Jaroslaw, Myszor; Michal, Szpajer; Krzysztof, Cymerman; Jerzy, Sadowski; Maria Sniezek, Maciejewska; Mariola Ciesla, Dul; Izabela Gorkiewicz, Kot; Tomasz, Grodzicki; Krzysztof, Rewiuk; Leszek, Kubik; Jacek, Lewit; Portugal: Joao Manuel Frazao Rodrigues de, Sousa; Rafael, Ferreira; Antonio, Freitas; Joao Carlos Araujo, Morais; Rui, Pires; M. J., Veloso Gomes; Paula, Gago; Rui Alexandre C., Candeias; Luis, Nunes; Joao Vitor Miranda, Sa; Miguel, Ventura; Mario de, Oliveira; Luis Brandao, Alves; Romania: Ioan, Bostaca; Codin T., Olariu; G. A., Dan; Anca, Dan; Cristian, Podoleanu; Attila, Frigy; George I. M., Georgescu; Catalina, Arsenescu; Cristian, Statescu; Radu, Sascau; Dan L., Dimitrascu; Raluca, Rancea; Russian Federation: Yuri V., Shubik; Dmitry, Duplyakov; Marina, Shalak; Vyacheslav, Mareev; Marine, Danielyan; Albert, Galyavich; Venera, Zakirova; Slovakia: Robert, Hatala; Gabriela, Kaliska; Jan, Kmec; Slovenia: Igor, Zupan; Jerneja, Tasie`; Damijan, Vokac; org at Arcuri DFM 96 on April 27, Sweden: Nils 2432 R. Nieuwlaat Downloaded from e. u. r. h. e. a. r. t. j. o. x. f. o. r. d. j. o. u. r. n. a. l. s.; 2010, Edvardsson; Dritan, Poci; Tunisia: Habib Gamra, Hichem Denguir; Turkey: Tugrul, Okay; Ahmet, Sepetoglu; Alev Arat, Ozkan; Ukraine: Mariya, Orynchak; Elena, Paliy; I., Vakalyuk; Oleg, Sychov; David, Malidze; Rostyslav, Prog; Myckola Ivanovich, Yabluchansky; Nataliya Volodimirovna, Makienko; Serbia, ; Montenegro: Tatjana, Potpara; Sofija, Knezevic; Miomir, Randjelovic. - In: EUROPEAN HEART JOURNAL. - ISSN 0195-668X. - 26:(2005), pp. 2422-2434. [10.1093/eurheartj/ehi505]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/22835
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