Franco Oliveto-Hernández, Servicio de Cardiología, Instituto Cardiovascular de Rosario, Rosario, Santa Fe, Argentina
Camila Antonietta, Servicio de Cardiología, Instituto Cardiovascular de Rosario, Rosario, Santa Fe, Argentina
Franco Marino, Servicio de Cardiología, Instituto Cardiovascular de Rosario, Rosario, Santa Fe, Argentina
Juan M. Domínguez, Servicio de Cardiología, Instituto Cardiovascular de Rosario, Rosario, Santa Fe, Argentina
Gerardo Zapata, Servicio de Cardiología, Instituto Cardiovascular de Rosario, Rosario, Santa Fe, Argentina
Fernando Bagnera, Servicio de Cardiología, Instituto Cardiovascular de Rosario, Rosario, Santa Fe, Argentina
Introduction: The causal relationship between atrial fibrillation (AF) and chronic heart failure is reciprocal, both emerging as new cardiovascular epidemics. Objectives: To identify clinical variables associated with the development of acute heart failure (AHF) in individuals with AF. Method: An observational and retrospective design was carried out on a database that included all individuals hospitalized for AF between 2021 and 2022. Their characteristics were described and presentation variables predictive of AHF were identified from a multivariable analysis. Results: 252 subjects, 67% male with a median age of 67 years (IQR 59-74). A history of heart disease was known in 19%, and AF was classified as paroxysmal in 41%, while it was persisten or permanent in 59%. Age (OR: 1,06; 95%CI: 1,02-1,10; p = 0,004) and previous history of heart disease (OR: 2,5; 95%CI: 1,1-5,6; p = 0,03) were identified as predictors of development of AHF. A higher rate of rehospitalization for heart failure was observed at follow-up (9 vs. 1%; p = 0,02; median time to rehospitalization of 4 months [RIC 2-8]). Conclusions: We identified age and history of structural heart disease as predictors of AHF in individuals hospitalized for AF. We observed in this group a higher rate of heart failure rehospitalization.
Keywords: Heart failure. Atrial fibrillation. Coronary unit.