Treatment timing and the effects of rhythm control strategy in patients with atrial fibrillation: nationwide cohort study.

ABSTRACT:

Objective

To investigate whether the results of a rhythm control strategy differ according to the duration between diagnosis of atrial fibrillation and treatment initiation.

Design

Longitudinal observational cohort study.

Setting

Population based cohort from the Korean National Health Insurance Service database.

Participants

22 635 adults with atrial fibrillation and cardiovascular conditions, newly treated with rhythm control (antiarrhythmic drugs or ablation) or rate control strategies between 28 July 2011 and 31 December 2015.

Main outcome measure

A composite outcome of death from cardiovascular causes, ischaemic stroke, admission to hospital for heart failure, or acute myocardial infarction.

Results

Of the study population, 12 200 (53.9%) were

SUBMITTER: Kim D 

PROVIDER: S-EPMC8111568 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature