Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access |
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc |
Journal website https://www.cardiologyres.org |
Original Article
Volume 15, Number 1, February 2024, pages 37-46
Characteristics and Outcomes of Atrial Fibrillation in Chronic Heart Failure Patients: A Comprehensive Analysis of the Colombian Heart Failure Registry
Figures
Tables
No AF (n = 1,954) n (%) | AF (n = 560), n (%) | Total (n = 2,514), n (%) | P value | |
---|---|---|---|---|
*P < 0.05. This table contains absolute counts and percentages (%) for categorical variables and mean and SD for continuous variables. n: refers to the total number of patients that report having/not having each condition. ACC: American College of Cardiology; AHA: American Heart Association; CABG: coronary artery bypass graft; COPD: chronic obstructive pulmonary disease; CRT: cardiac resynchronization therapy; GFR: glomerular filtration rate; HR: heart rate; bpm: beats per minute; ICD: implantable cardioverter defibrillator; LVDD: left ventricular diastolic diameter; LVEF: left ventricle ejection fraction; NT-proBNP: N-terminal prohormone of brain natriuretic peptide; NYHA: New York Heart Association; PM: pacemaker; SD: standard deviation; IQR: interquartile range. | ||||
Demographics | ||||
Age (years), mean ± SD | 66.00 ± 14.00 | 73.00 ± 11.00 | 67.00 ± 14.00 | < 0.001* |
Sex | 0.272 | |||
Female | 818 (41.9) | 249 (44.5) | 1,067 (42.4) | |
Male | 1,136 (58.1) | 311 (55.5) | 1,447 (57.6) | |
Population | 0.824 | |||
Asian | 1 (0.1) | 0 (0.0) | 1 (0.0) | |
European | 86 (4.4) | 30 (5.4) | 116 (4.6) | |
Native American | 9 (0.5) | 1 (0.2) | 10 (0.4) | |
Hispanic | 1,444 (73.9) | 409 (73.0) | 1,853 (73.7) | |
Mestizo | 354 (18.1) | 104 (18.6) | 458 (18.2) | |
African-American | 60 (3.1) | 16 (2.9) | 76 (3.0) | |
Insurance information | ||||
Contributive | 1,115 (57.1) | 355 (63.4) | 1,470 (58.5) | < 0.001* |
Subsidized | 748 (38.3) | 149 (26.6) | 897 (35.7) | |
Additional insurance policy | 91 (4.7) | 56 (10.0) | 147 (5.8) | |
Comorbidities | ||||
Hypertension | 1,382 (70.7) | 429 (76.6) | 1,811 (72.0) | 0.006 |
Type 2 diabetes mellitus | 516 (26.4) | 104 (18.6) | 620 (24.7) | < 0.001* |
Cancer | 78 (4.0) | 23 (4.1) | 101 (4.0) | 0.902 |
Coronary artery disease | 565 (28.9) | 141 (25.2) | 706 (28.1) | 0.083 |
COPD | 315 (16.1) | 126 (22.5) | 441 (17.5) | < 0.001* |
Thyroid disease | 257 (13.2) | 131 (23.4) | 388 (15.4) | < 0.001* |
Chronic kidney disease | 307 (15.7) | 127 (22.7) | 434 (17.3) | < 0.001* |
Valvular disease | 297 (15.2) | 132 (23.6) | 429 (17.1) | < 0.001* |
Smoking | 362 (18.5) | 90 (16.1) | 452 (17.9) | 0.182 |
CABG | 139 (7.1) | 31 (5.5) | 170 (6.8) | 0.190 |
Dyslipidemia | 513 (26.3) | 134 (23.9) | 647 (25.7) | 0.267 |
Chagas disease | 70 (3.6) | 18 (3.2) | 88 (3.5) | 0.676 |
Heart failure information | ||||
NYHA classification | 0.488 | |||
I | 242 (12.4) | 56 (10.0) | 298 (11.9) | |
II | 1042 (53.3) | 308 (55.0) | 1,350 (53.7) | |
III | 577 (29.5) | 170 (30.4) | 747 (29.7) | |
IV | 93 (4.8) | 26 (4.6) | 119 (4.7) | |
AHA/ACC stage | 0.171 | |||
C | 1,854 (94.9) | 523 (93.4) | 2,377 (94.6) | |
D | 100 (5.1) | 37 (6.6) | 137 (5.4) | |
Bicameral PM | 60 (3.1) | 38 (6.8) | 98 (3.9) | < 0.001* |
Unicameral PM | 28 (1.4) | 21 (3.8) | 49 (1.9) | < 0.001* |
CRT | 39 (2.0) | 9 (1.6) | 48 (1.9) | 0.553 |
ICD | 184 (9.4) | 59 (10.5) | 243 (9.7) | 0.429 |
CRT + ICD | 84 (4.3) | 43 (7.7) | 127 (5.1) | 0.001* |
HR (bpm), median (IQR) | 72 (65, 80) | 70 (64, 83) | 72 (65, 81) | 0.832 |
QRS complex | 0.190 | |||
< 120 ms | 635 (61.4) | 198 (65.6) | 833 (62.4) | |
> 120 ms | 399 (38.6) | 104 (34.4) | 503 (37.7) | |
LVDD mm | 56.595 (12.493) | 55.089 (12.626) | 56.270 (12.532) | 0.032 |
LVEF % | 33.978 (13.432) | 35.293 (13.672) | 34.261 (13.491) | 0.067 |
Pulmonary hypertension on echocardiogram | 649 (45.5) | 241 (59.5) | 890 (48.6) | < 0.001* |
Quality of life score | 79.742 (20.383) | 75.616 (22.487) | 78.823 (20.936) | < 0.001* |
Laboratory results | ||||
Hemoglobin, mg/dL | 12.966 (2.098) | 12.944 (2.041) | 12.961 (2.084) | 0.980 |
Creatinine, mg/dL | 1.349 (1.050) | 1.310 (0.690) | 1.340 (0.979) | 0.010 |
GFR | 63.729 (35.912) | 59.116 (26.455) | 62.666 (34.016) | 0.031 |
Hyperkalemia | 142 (9.9) | 34 (7.7) | 176 (9.4) | 0.146 |
Hyponatremia | 193 (14.8) | 47 (11.6) | 240 (14.1) | 0.111 |
Blood urea nitrogen | 25.965 (14.052) | 27.937 (14.087) | 26.413 (14.080) | 0.002* |
NTproBNP, pg/mL | 5,506.983 (8,508.236) | 5,925.434 (10,806.911) | 5,625.510 (9,205.680) | 0.417 |
HFpEF (n = 275), n (%) | HFrEF (n = 285), n (%) | Total (n = 560), n (%) | P value | |
---|---|---|---|---|
This table contains absolute counts and % for categorical variables and mean and SD for continuous variables. n: refers to the total number of patients that report having/not having each condition. SD: standard deviation; ACC: American College of Cardiology; AHA: American Heart Association; ARB: aldosterone receptor blocker; CABG: coronary artery bypass graft; COPD: chronic obstructive pulmonary disease; CRT: cardiac resynchronization therapy; GFR: glomerular filtration rate; ICD: implantable cardioverter defibrillator; LVDD: left ventricle diastolic diameter; LVEF: left ventricle ejection fraction; MRA: mineralocorticoid receptor antagonist; NT-proBNP: N-terminal prohormone of brain natriuretic peptide; NYHA: New York Heart Association; PM: pacemaker; ACE: angiotensin-converting enzyme; HFpEF: heart failure with preserved ejection fraction; HFrEF: heart failure with reduced ejection fraction. | ||||
Demographics | ||||
Age (years), mean ± SD | 75.21 ± 10.06 | 70.95 ± 10.61 | 73.04 ± 10.55 | < 0.001 |
Sex | ||||
Female | 136 (49.5) | 113 (39.6) | 249 (44.5) | |
Males | 139 (50.5) | 172 (60.4) | 311 (55.5) | 0.020 |
Population | 0.661 | |||
European | 15 (5.5) | 15 (5.3) | 30 (5.4) | |
Indigenous | 0 (0.0) | 1 (0.4) | 1 (0.2) | |
Hispanic | 197 (71.6) | 212 (74.4) | 409 (73.0) | |
Mestiza | 53 (19.3) | 51 (17.9) | 104 (18.6) | |
African-American | 10 (3.6) | 6 (2.1) | 16 (2.9) | |
Comorbidities | ||||
Hypertension | 217 (78.9) | 212 (74.4) | 429 (76.6) | 0.206 |
Type 2 diabetes mellitus | 57 (20.7) | 47 (16.5) | 104 (18.6) | 0.198 |
Coronary disease | 72 (26.2) | 69 (24.2) | 141 (25.2) | 0.591 |
COPD | 68 (24.7) | 58 (20.4) | 126 (22.5) | 0.215 |
Thyroid disease | 76 (27.6) | 55 (19.3) | 131 (23.4) | 0.020 |
Chronic kidney disease | 57 (20.7) | 70 (24.6) | 127 (22.7) | 0.279 |
Valvular disease | 71 (25.8) | 61 (21.4) | 132 (23.6) | 0.219 |
Smoking | 50 (18.2) | 40 (14.0) | 90 (16.0) | 0.182 |
CABG | 17 (6.2) | 14 (4.9) | 31 (5.5) | 0.511 |
Dyslipidemia | 59 (21.5) | 75 (26.3) | 134 (23.9) | 0.178 |
Chagas disease | 4 (1.5) | 14 (4.9) | 18 (3.2) | 0.020 |
Heart failure information | ||||
HF etiology | ||||
Hypertensive | 118 (42.9) | 103 (36.1) | 221 (39.5) | 0.101 |
Toxic | 3 (1.1) | 1 (0.4) | 4 (0.7) | 0.365 |
Ischemic | 108 (39.3) | 109 (38.2) | 217 (38.8) | 0.803 |
Unknown | 0 | 0 | 0 | |
Valvular | 78 (28.4) | 58 (20.4) | 136 (24.3) | 0.027 |
Other | 0 | 0 | 0 | |
Chemotherapy | 2 (0.7) | 2 (0.7) | 4 (0.7) | 1.000 |
Idiopathic | 19 (6.9) | 19 (6.7) | 38 (6.8) | 0.909 |
Tachycardiomyopathy | 58 (21.1) | 73 (25.6) | 131 (23.4) | 0.206 |
Metabolic | 5 (1.8) | 8 (2.8) | 13 (2.3) | 0.437 |
Chagasic | 3 (1.1) | 13 (4.6) | 16 (2.9) | 0.014 |
Congenital | 2 (0.7) | 2 (0.7) | 4 (0.7) | 1.000 |
Viral | 1 (0.4) | 0 (0.0) | 1 (0.2) | 0.491 |
Genetic | 1 (0.4) | 0 (0.0) | 1 (0.2) | 0.491 |
Peripartum | 0 (0.0) | 1 (0.4) | 1 (0.2) | 1.000 |
Alcoholic | 0 (0.0) | 1 (0.4) | 1 (0.2) | 1.000 |
NYHA classification | 0.153 | |||
I | 25 (9.1) | 31 (10.9) | 56 (10.0) | |
II | 151 (54.9) | 157 (55.1) | 308 (55.0) | |
III | 91 (33.1) | 79 (27.7) | 170 (30.4) | |
IV | 8 (2.9) | 18 (6.3) | 26 (4.6) | |
AHA/ACC stage | 0.079 | |||
C | 262 (95.3) | 261 (91.6) | 523 (93.4) | |
D | 13 (4.7) | 24 (8.4) | 37 (6.6) | |
Bicameral PM | 25 (9.1) | 13 (4.6) | 38 (6.8) | 0.033 |
Unicameral PM | 13 (4.7) | 8 (2.8) | 21 (3.8) | 0.232 |
CRT | 4 (1.5) | 5 (1.8) | 9 (1.6) | 0.957 |
ICD | 24 (8.7) | 35 (12.3) | 59 (10.5) | 0.171 |
CRT + ICD | 8 (2.9) | 35 (12.3) | 43 (7.7) | < 0.001 |
Prolonged QRS | 43 (31) | 61 (37) | 104 (34.4) | 0.237 |
LVDD, mm | 48.516 (10.170) | 58.220 (12.499) | 55.089 (12.626) | < 0.001 |
LVEF | 50.406 (8.634) | 27.074 (7.487) | 35.293 (13.672) | < 0.001 |
Pulmonary hypertension on echocardiogram | 94 (64.4) | 147 (56.8) | 241 (59.5) | 0.133 |
Quality of life score | 77.018 (21.525) | 74.263 (23.335) | 75.616 (22.487) | 0.195 |
Pharmacological treatment | ||||
ACE inhibitors | 77 (28.0) | 95 (33.3) | 172 (30.7) | 0.171 |
ARB | 136 (49.5) | 119 (41.8) | 255 (45.5) | 0.067 |
Diuretics | 205 (74.5) | 217 (76.1) | 422 (75.4) | 0.661 |
Beta-blockers | 248 (90.2) | 268 (94.0) | 516 (92.1) | 0.090 |
Sacubitril/valsartan | 17 (6.2) | 39 (13.7) | 56 (10.0) | 0.003 |
MRAs | 131 (47.6) | 192 (67.4) | 323 (57.7) | < 0.001 |
Ivabradine | 2 (0.7) | 5 (1.8) | 7 (1.2) | 0.274 |
Digoxin | 41 (14.9) | 58 (20.4) | 99 (17.7) | 0.091 |
Nitrates | 11 (4.0) | 5 (1.8) | 16 (2.9) | 0.111 |
Antiaggregants | 67 (24.4) | 66 (23.2) | 133 (23.8) | 0.737 |
Statins | 148 (53.8) | 171 (60.0) | 319 (57.0) | 0.140 |
Anticoagulants | 194 (70.5) | 183 (64.2) | 377 (67.3) | 0.110 |
Laboratory findings | ||||
Hemoglobin, mg/dL | 12.631 (2.152) | 13.243 (1.886) | 12.944 (2.041) | 0.005 |
Serum creatinine, mg/dL | 1.255 (0.630) | 1.361 (0.739) | 1.310 (0.690) | 0.013 |
GFR | 61.905 (25.763) | 56.499 (26.877) | 59.116 (26.455) | 0.007 |
Blood urea nitrogen | 26.717 (13.971) | 29.033 (14.139) | 27.937 (14.087) | 0.050 |
Hyperkalemia | 16 (7.3) | 18 (7.9) | 34 (7.7) | 0.804 |
Hyponatremia | 28 (13.9) | 19 (9.4) | 47 (11.6) | 0.152 |
NT-proBNP, pg/mL | 4,975.927 (12,335.601) | 6,795.815 (9,207.515) | 5,925.434 (10,806.911) | 0.177 |