TY  - JOUR
PY  - 2020//
TI  - Differences in treatment and prognosis by the experience of falls or bone fracture in elderly patients with atrial fibrillation
JO  - Heart and vessels
A1  - Akama, Joh
A1  - Suzuki, Shinya
A1  - Kato, Yuko
A1  - Arita, Takuto
A1  - Yagi, Naoharu
A1  - Otsuka, Takayuki
A1  - Semba, Hiroaki
A1  - Kishi, Mikio
A1  - Kano, Hiroto
A1  - Matsuno, Shunsuke
A1  - Uejima, Tokuhisa
A1  - Oikawa, Yuji
A1  - Matsuhama, Minoru
A1  - Yajima, Junji
A1  - Takeishi, Yasuchika
A1  - Yamashita, Takeshi
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - Treatment and prognosis of elderly patients with atrial fibrillation (AF) may differ by the experience of fall or bone fracture. However, their current status is still unclear. From our institute database between 2010 and 2015, 674 AF patients with age ≥ 70 years were selected and were divided into those who experienced fall or fracture during the observation period (F/F group; n = 49) and those who did not (non-F/F group; n = 625). We compared the treatment and prognosis between the 2 groups. Patients in the F/F group were older (79 vs 76 years, P < 0.001) and had more comorbidities compared with those in the non-F/F group. The prescription rate of oral anticoagulant was similar between the two groups (77.6% vs 68.2%, P = 0.201), where warfarin was predominant. The F/F group was not associated with higher incidence of ischemic stroke. The F/F group was associated with a higher incidence of heart failure events (adjusted odds ratio (OR) 3.88; 95% confidence intervals (Cl) 1.70-8.85; P = 0.001), and cardiovascular events (OR 3.43; 95% Cl 1.71-6.85; P < 0.001). In elderly AF patients in a cardiovascular hospital, the experience of fall or fracture did not affect the prescription of oral anticoagulants and the incidence of ischemic stroke, but it was significantly associated with increase of heart failure.<p />  <p>Language: en</p>
LA  - en
SN  - 0910-8327
UR  - http://dx.doi.org/10.1007/s00380-020-01592-2
ID  - ref1
ER  -