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Table 1 Characteristics of patients according to VHD status

From: Prognostic implications of valvular heart disease in patients with non-valvular atrial fibrillation

Variables

All1

(n = 983)

No/mild VHDa

(n = 408)

Significant VHDa

(n = 575)

p valueb

Age (years)

76 (14)

72 (16)

78 (11)

 < 0.001

Gender (men)

553 (54.2)

243 (59.6)

290 (50.4)

0.005

BMI (kg/m2)

28 (6)

29 (6)

25 (3)

0.003

CHA2DS2-VASc score

 Mean (SD)

4.3 ± 2.0

3.8 ± 2.0

4.7 ± 1.9

 < 0.001

 Median (IQR)

4 (3)

4 (2)

5 (2)

 < 0.001

HASBLED score

 Mean (SD)

1.9 ± 1.1

1.7 ± 1.1

2.0 ± 1.1

 < 0.001

 Median (IQR)

2 (2)

2 (1)

2 (2)

 < 0.001

AF pattern

 First-diagnosed

138 (14)

71 (17.4)

67 (11.7)

 < 0.001

 Paroxysmal

364 (37)

198 (48.5)

166 (28.9)

 < 0.001

 Persistent or permanent

481 (48.9)

139 (34.1)

342 (59.5)

 < 0.001

 Duration of AF (years)

4.0 (9.9)

3.0 (6.98)

4.2 (9.8)

 < 0.001

Clinical history

 Hypertension

788 (80.2)

325 (79.7)

463 (80.5)

0.738

 Diabetes mellitus

339 (34.5)

128 (31.4)

211 (36.7)

0.084

 Hyperlipidemia

485 (49.3)

198 (48.5)

287 (49.9)

0.669

 Heart failure

483 (49.1)

128 (31.4)

355 (61.7)

 < 0.001

 Endocrinal disease

221 (22.5)

94 (23)

127 (22.1)

0.725

 COPD

132 (13.4)

41 (10)

91 (15.8)

0.009

 Coronary artery disease

429 (43.6)

161 (39.5)

268 (46.6)

0.026

 Prior myocardial infarction

239 (24.3)

80 (19.6)

159 (27.7)

0.004

 Prior PCI or CABG

278 (32.3)

126 (30.9)

192 (33.4)

0.407

 Prior cardiac arrest

26 (2.6)

9 (2.2)

17 (3)

0.470

 Non-fatal stroke or SEE

147 (15)

59 (14.5)

88 (15.3)

0.715

 Non-fatal major hemorrhage

154 (15.7)

46 (11.3)

108 (18.8)

0.001

 Bioprosthetic valve

16 (1.6)

4 (1.0)

12 (2.1)

0.206

 eGFR at discharge (ml/min/1.73m2)

60 (40)

71 (49)

55 (34)

 < 0.001

 LVEF (%)

52 (14)

55 (10)

50 (15)

 < 0.001

 LAVi (mL/m2)

41 (11)

37 (13)

44 (10)

 < 0.001

 NT-proBNP (pg/ml)

2047 (4497)

1422 (2930)

2771 (5746)

 < 0.001

 hs-TnT (pg/ml)

27 (43)

20 (32)

34 (51)

 < 0.001

Medication at discharge

 Oral anticoagulants

781 (79.4)

312 (76.5)

469 (81.6)

0.242

  Vitamin K antagonist

257 (26.1)

81 (19.9)

176 (30.6)

 < 0.001

  Non-vitamin K antagonist

524 (53.3)

231 (56.6)

293 (51)

0.02

 Antiplatelet agent

265 (27)

109 (27)

156 (27.1)

0.885

  Aspirin

102 (10.4)

37 (9.1)

65 (11.3)

0.257

  Clopidogrel

60 (6.1)

26 (6.4)

34 (5.9)

0.767

  Dual antiplatelet

103 (10.5)

46 (11.3)

57 (9.9)

0.492

B-blocker

739 (75.2)

289 (70.8)

450 (77.3)

0.005

Digoxin

60 (6.1)

17 (4.1)

48 (8.3)

0.009

Calcium channel blocker

204 (20.8)

95 (23.3)

109 (19)

0.137

Antiarrhythmic agent

228 (23.2)

117 (30.1)

105 (18.3)

 < 0.001

 Amiodarone

178 (18.1)

95 (23.3)

83 (14.4)

 < 0.001

 Propafenone

27 (2.7)

18 (4.4)

9 (1.6)

0.007

 Sotalol

23 (2.3)

10 (2.5)

13 (2.3)

0.846

ACE inhibitors or ARBs

429 (43.6)

195 (47.8)

234 (40.7)

0.046

MRAs

257 (26.1)

66 (16.2)

191 (33.2)

 < 0.001

Statins

387 (39.4)

175 (42.9)

212 (36.9)

0.089

Diuretics

591 (60.1)

181 (44.4)

410 (71.3)

 < 0.001

  1. aData were reported as absolute numbers (%), means (SD), or medians (IQR)
  2. bValues in bold indicate statistical significance (p < 0.05)
  3. VHD valvular heart disease, AF atrial fibrillation, BMI body mass index, eGFR estimated glomerular filtration rate, COPD chronic obstructive pulmonary disease, PCI percutaneous coronary intervention, CABG coronary artery by-pass, SEE systemic embolic event, LVEF left ventricular ejection fraction, LAVi indexed left atrial volume, NT-proBNP N-terminal pro B-type natriuretic peptide, hs-TnT cardiac troponin T measured with high-sensitivity assay, ACE angiotensin-converting enzyme, ARB angiotensin receptor blocker, MRA mineralocorticoid receptor antagonists