Relation of outcomes to ABC (Atrial Fibrillation Better Care) pathway adherent care in European patients with atrial fibrillation: an analysis from the ESC-EHRA EORP Atrial Fibrillation General Long-Term (AFGen LT) Registry

Thomas Cuisset; Laurent Fauchier; Pierre Deharo; Ariel Cohen; Victor Waldmann; Abdeslam Bouzeman; Guillaume Duthoit; Linda Koutbi; Francis Bessiere; Fabien Labombarda; Christelle Marquié; Jean-Baptiste Gourraud; Pierre Mondoly; Jean Marc Sellal; Pierre Bordachar; Alexis Hermida; Frédéric Anselme; Anouk Asselin; Caroline Audinet; Yvette Bernard; Serge Boveda; Paul Bru; Sok Sithikun Bun; Gael Clerici; Antoine da Costa; Maxime de Guillebon; Pascal Defaye; Nathalie Elbaz; Romain Eschalier; Rodrigue Garcia; Charles Guenancia; Benoit Guy-Moyat; Franck Halimi; Didier Irles; Laurence Iserin; François Jourda; Magalie Ladouceur; Philippe Lagrange; Mikael Laredo; Jacques Mansourati; Grégoire Massoulié; Amel Mathiron; Philippe Maury; Anne Messali; Kumar Narayanan; Cédric Nguyen; Sandro Ninni; Marie-Cécile Perier; Bertrand Pierre; Penelope Pujadas; Frédéric Sacher; Pascal Sagnol; Ardalan Sharifzadehgan; Camille Walton; Pierre Winum; Cyril Zakine; Raphael Martins; Jean-Luc Pasquié; Jean Benoit Thambo; Xavier Jouven; Nicolas Combes; Eloi Marijon; Fabien Squara; Guillaume Theodore; Didier Scarlatti; Jérome Hourdain; Jean-Claude Deharo; Pierre Ollitrault; Paul Milliez; Laure Champ-Rigot; Hugues Bader; Cécile Duplantier; Antoine Milhem; Audrey Sagnard; Géraldine Bertaux; Gabriel Laurent; Marc Badoz; Agustin Bortone; Guillaume Laborie; Anne Rollin; Quentin Voglimacci Stephanopoli; Franck Mandel; Alexandre Duparc; Guillaume Domain; Jean-Paul Albenque; Christèle Cardin; Stéphane Combes; Nikita Tanese; Karim Hasni; Christophe Leclercq; Vincent Galand; Dominique Pavin; Philippe Mabo; Nathalie Behar; Nicolas Clementy; Christophe Loose; Akli Otmani; Sandrine Venier; Adrien Carabelli; Peggy Jacon; Mouna Ben Kilani; Jean Bapstist Guichard; Cécile Romeyer-Bouchard; Laurianne Le Gloan; Vincent Probst; Luc Freysz; Hugues Blangy; Christian De Chillou; Nicolas Sadoul; Pierre Khattar; Charlotte Potelle; Frederic Jean; Paul Puie; Ziad Khoueiry; Philippe Chevallier; Arnaud Dulac; Sylvie Di Filippo; Kevin Gardey; Pierre Frey; Chrystelle Akret; Antoine Dompnier; Carole Maupain; Xavier Waintraub; Françoise Hidden-Lucet; Thomas Chastre; Estelle Gandjbakhch; Nicolas Badenco; Fabrice Extramiana; Antoine Leenhardt; Amir Zouaghi; Vincent Algalarrondo; Denis Amet; Emilie Varlet; Tej Chalbia; Séverine Philibert; Jacky Ollitrault; Thomas Lavergne; Pierre Baudinaud; Adrian Mirolo; Arnaud Savouré; Bénédicte Godin; Cathy Bertrand; Pierre Fiorello; Nicolas Johnson; Pierre-Marc Lallemand; Alexis Herminda; Jean-Sylvain Hermida; Bruno Degand; Rim El Bouazzaou; Stéphane Mourot; Samuel Goussot; Gaël Jauvert; Arnaud Lazarus; Caroline Grimard; Christine Alonso; Alexandre Zhao; Olivier Thomas; Bruno Cauchemez; Ghassan Moubarak; Nicolas Lellouche; David Hamon; Bogdan Enache; Gabriel Lactu; Françoise Wiart; Olivier Geoffroy; Damien Poindron; Alice Maltret; Cristine Raimondo; Damien Bonnet; Sébastien Hascoët; Nicolas Derval; Michel Haïssaguerre; Mélèze Hocini; Marco Proietti; Gregory Lip; Cécile Laroche; Francisco Marin; Michael Nabauer; Tatjana Potpara; Gheorghe-Andrei Dan; Zbigniew Kalarus; Luigi Tavazzi; Aldo Pietro Maggioni; Giuseppe Boriani

doi:10.1093/europace/euaa274

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Relation of outcomes to ABC (Atrial Fibrillation Better Care) pathway adherent care in European patients with atrial fibrillation: an analysis from the ESC-EHRA EORP Atrial Fibrillation General Long-Term (AFGen LT) Registry

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Relation of outcomes to ABC (Atrial Fibrillation Better Care) pathway adherent care in European patients with atrial fibrillation: an analysis from the ESC-EHRA EORP Atrial Fibrillation General Long-Term (AFGen LT) Registry

Thomas Cuisset, Laurent Fauchier, Pierre Deharo, Ariel Cohen, Victor Waldmann, Abdeslam Bouzeman, Guillaume Duthoit, Linda Koutbi, Francis Bessiere, Fabien Labombarda, …

EP-Europace, Vol.23(2), pp.174-183

01/02/2021

DOI: https://doi.org/10.1093/europace/euaa274

Résumé

Abstract Aims There has been an increasing focus on integrated, multidisciplinary, and holistic care in the treatment of atrial fibrillation (AF). The ‘Atrial Fibrillation Better Care’ (ABC) pathway has been proposed to streamline integrated care in AF. We evaluated the impact on outcomes of an ABC adherent management in a contemporary real-life European-wide AF cohort. Methods and results Patients enrolled in the ESC-EHRA EURObservational Research Programme in AF General Long-Term Registry with baseline data to evaluate ABC criteria and available follow-up data were considered for this analysis. Among the original 11 096 AF patients enrolled, 6646 (59.9%) were included in this analysis, of which 1996 (30.0%) managed as ABC adherent. Patients adherent to ABC care had lower CHA2DS2-VASc and HAS-BLED scores (mean ± SD, 2.68 ± 1.57 vs. 3.07 ± 1.90 and 1.26 ± 0.93 vs. 1.58 ± 1.12, respectively; P < 0.001). At 1-year follow-up, patients managed adherent to ABC pathway compared to non-adherent ones had a lower rate of any thromboembolic event (TE)/acute coronary syndrome (ACS)/cardiovascular (CV) death (3.8% vs. 7.6%), CV death (1.9% vs. 4.8%), and all-cause death (3.0% vs. 6.4%) (all P < 0.0001). On Cox multivariable regression analysis, ABC adherent care showed an association with a lower risk of any TE/ACS/CV death [hazard ratio (HR): 0.59, 95% confidence interval (CI): 0.44–0.79], CV death (HR: 0.52, 95% CI: 0.35–0.78), and all-cause death (HR: 0.57, 95% CI: 0.43–0.78). Conclusion In a large contemporary cohort of European AF patients, a clinical management adherent to ABC pathway for integrated care is associated with a significant lower risk for cardiovascular events, CV death, and all-cause death.

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Titre: Relation of outcomes to ABC (Atrial Fibrillation Better Care) pathway adherent care in European patients with atrial fibrillation: an analysis from the ESC-EHRA EORP Atrial Fibrillation General Long-Term (AFGen LT) Registry
Créateurs - sans rôle: Thomas Cuisset - Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico
Laurent Fauchier - Thion Medical
Pierre Deharo - Unité de recherche sur les maladies cardiovasculaires et métaboliques
Ariel Cohen - Hôpital Saint-Antoine
Victor Waldmann - Universidad de Murcia
Abdeslam Bouzeman - Ludwig-Maximilians-Universität München
Guillaume Duthoit - Sorbonne Université
Linda Koutbi - Hôpital de la Timone
Francis Bessiere - Hospices Civils de Lyon
Fabien Labombarda - Centre Hospitalier Universitaire de Caen Normandie
Christelle Marquié - Centre Hospitalier Universitaire de Lille
Jean-Baptiste Gourraud - Azienda Ospedaliero-Universitaria di Modena
Pierre Mondoly - Service Cardiologie [CHU Toulouse]
Jean Marc Sellal - Centre Hospitalier Régional Universitaire de Nancy
Pierre Bordachar - Imam Hossein University
Alexis Hermida - Centre Hospitalier Universitaire Amiens-Picardie
Frédéric Anselme - Service de Cardiologie [CHU Rouen]
Anouk Asselin - Paris-Centre de Recherche Cardiovasculaire
Caroline Audinet - Groupe Hospitalier Bretagne Sud
Yvette Bernard - Centre Hospitalier Régional Universitaire de Besançon
Serge Boveda - Clinique Pasteur
Paul Bru - Service de cardiologie
Sok Sithikun Bun - Hôpital Pasteur
Gael Clerici - Centre Hospitalier Universitaire de Saint-Pierre
Antoine da Costa
Maxime de Guillebon
Pascal Defaye
Nathalie Elbaz
Romain Eschalier
Rodrigue Garcia
Charles Guenancia
Benoit Guy-Moyat
Franck Halimi
Didier Irles
Laurence Iserin
François Jourda
Magalie Ladouceur
Philippe Lagrange
Mikael Laredo
Jacques Mansourati
Grégoire Massoulié
Amel Mathiron
Philippe Maury
Anne Messali
Kumar Narayanan
Cédric Nguyen
Sandro Ninni
Marie-Cécile Perier
Bertrand Pierre
Penelope Pujadas
Frédéric Sacher
Pascal Sagnol
Ardalan Sharifzadehgan
Camille Walton
Pierre Winum
Cyril Zakine
Raphael Martins
Jean-Luc Pasquié - CHU Montpellier = Montpellier University Hospital
Jean Benoit Thambo
Xavier Jouven
Nicolas Combes
Eloi Marijon
Fabien Squara
Guillaume Theodore
Didier Scarlatti
Jérome Hourdain
Jean-Claude Deharo
Pierre Ollitrault
Paul Milliez
Laure Champ-Rigot
Hugues Bader
Cécile Duplantier
Antoine Milhem
Audrey Sagnard
Géraldine Bertaux
Gabriel Laurent
Marc Badoz
Agustin Bortone
Guillaume Laborie
Anne Rollin
Quentin Voglimacci Stephanopoli
Franck Mandel
Alexandre Duparc
Guillaume Domain
Jean-Paul Albenque
Christèle Cardin
Stéphane Combes
Nikita Tanese
Karim Hasni
Christophe Leclercq
Vincent Galand
Dominique Pavin
Philippe Mabo
Nathalie Behar
Nicolas Clementy
Christophe Loose
Akli Otmani
Sandrine Venier
Adrien Carabelli
Peggy Jacon
Mouna Ben Kilani
Jean Bapstist Guichard
Cécile Romeyer-Bouchard
Laurianne Le Gloan
Vincent Probst
Luc Freysz
Hugues Blangy
Christian De Chillou
Nicolas Sadoul
Pierre Khattar
Charlotte Potelle
Frederic Jean
Paul Puie
Ziad Khoueiry
Philippe Chevallier
Arnaud Dulac
Sylvie Di Filippo
Kevin Gardey
Pierre Frey
Chrystelle Akret
Antoine Dompnier
Carole Maupain
Xavier Waintraub
Françoise Hidden-Lucet
Thomas Chastre
Estelle Gandjbakhch
Nicolas Badenco
Fabrice Extramiana
Antoine Leenhardt
Amir Zouaghi
Vincent Algalarrondo
Denis Amet
Emilie Varlet
Tej Chalbia
Séverine Philibert
Jacky Ollitrault
Thomas Lavergne
Pierre Baudinaud
Adrian Mirolo
Arnaud Savouré
Bénédicte Godin
Cathy Bertrand
Pierre Fiorello
Nicolas Johnson
Pierre-Marc Lallemand
Alexis Herminda
Jean-Sylvain Hermida
Bruno Degand
Rim El Bouazzaou
Stéphane Mourot
Samuel Goussot
Gaël Jauvert
Arnaud Lazarus
Caroline Grimard
Christine Alonso
Alexandre Zhao
Olivier Thomas
Bruno Cauchemez
Ghassan Moubarak
Nicolas Lellouche
David Hamon
Bogdan Enache
Gabriel Lactu
Françoise Wiart
Olivier Geoffroy
Damien Poindron
Alice Maltret
Cristine Raimondo
Damien Bonnet
Sébastien Hascoët
Nicolas Derval
Michel Haïssaguerre
Mélèze Hocini
Marco Proietti - University of Milan
Gregory Lip - University of Liverpool
Cécile Laroche - European Society of Cardiology
Francisco Marin - Universidad de Murcia
Michael Nabauer
Tatjana Potpara - University of Belgrade
Gheorghe-Andrei Dan - Spitalul Clinic Colentina
Zbigniew Kalarus - Silesian Medical University, Katowice, Poland
Luigi Tavazzi - Maria Cecilia Hospital
Aldo Pietro Maggioni - Associazione Nazionale Medici Cardiologi Ospedalieri
Giuseppe Boriani - University of Modena and Reggio Emilia
Détails de publication: EP-Europace, Vol.23(2), pp.174-183
Identifiants: 99161391809311
Unité académique: Physiologie et Médecine Expérimentale du coeur et des muscles - PhyMedExp
Langue: English
Type de ressource: Journal article
Champs locaux: hal-03656002