ArticleHeart (British Cardiac Society)2020
Atrial fibrillation is not an independent predictor of outcome in patients with aortic stenosis.
Article in Heart (British Cardiac Society), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed, 27 citations in OpenAlex.
- Differences in cardiac output of patients undergoing trans-catheter aortic valve implantation according to their underlying rhythm.World journal of cardiology · 2026Article
- Early Outcomes With Cerebral Embolic Protection During Transcatheter Aortic Valve Replacement in Patients With Atrial Fibrillation.Structural heart : the journal of the Heart Team · 2025Article
- Does Atrial Fibrillation at Diagnosis Change Prognosis in Patients with Aortic Stenosis?Journal of clinical medicine · 2024Article
- The impact of atrial fibrillation on prognosis in aortic stenosis.European heart journal. Quality of care & clinical outcomes · 2023Article
- Clinical efficacy and safety of Cox-maze IV procedure for atrial fibrillation in patients with aortic valve calcification.Frontiers in cardiovascular medicine · 2023Article
- Impact of atrial fibrillation on outcomes in asymptomatic severe aortic stenosis: a propensity-matched analysis.Frontiers in cardiovascular medicine · 2023Article
- Arrhythmias in Patients With Valvular Heart Disease: Gaps in Knowledge and the Way Forward.Frontiers in cardiovascular medicine · 2022Review
- Effectiveness and Safety of NOAC Versus Warfarin in Patients With Atrial Fibrillation and Aortic Stenosis.Journal of the American Heart Association · 2021Observational
- Impact of Reverse Left Ventricular Remodeling on Outcomes of Patients with Anomalous Left Coronary Artery from the Pulmonary Artery after Surgical Correction.Pediatric cardiology · 2021Article
- Post-operative Atrial Fibrillation Impacts on Outcomes in Transcatheter and Surgical Aortic Valve Replacement.Frontiers in cardiovascular medicine · 2021Article
- Advances in the Treatment of Cardiac Amyloidosis.Current treatment options in oncology · 2020Review
Corrections and comments
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Authors and funding
16 authors at 1 institution in 1 country.
Funding
Abstract
objectivesTo examine the prognostic significance of atrial fibrillation (AF) versus sinus rhythm (SR) on the management and outcomes of patients with severe aortic stenosis (AS).
methods1847 consecutive patients with severe AS (aortic valve area ≤1.0 cm
resultsAge was 76±11 years and 46% were female; 293 (16%) patients had AF and 1554 (84%) had SR. In AF, 72% were symptomatic versus 71% in SR. Survival rate at 5 years for AF (41%) was lower than SR (65%) (age- and sex-adjusted HR=1.66 (1.40-1.98), p<0.0001). In multivariable analysis, factors associated with mortality included age (HR per 10 years=1.55 (1.42-1.69), p<0.0001), dyspnoea (HR=1.58 (1.33-1.87), p<0.0001), ≥ moderate mitral regurgitation (HR=1.63 (1.22-2.18), p=0.001), right ventricular systolic dysfunction (HR=1.88 (1.52-2.33), p<0.0001), left atrial volume index (HR per 10 mL/m
conclusionAF was associated with poor prognosis in patients with severe AS, but apparent differences in outcomes compared with SR were explained by factors other than AF including concomitant cardiac abnormalities and deferral of AVR due to attribution of cardiac symptoms to AF.
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