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The influence of progression of atrial fibrillation on quality of life: a report from the Euro Heart Survey.

Identifieur interne : 000753 ( Main/Exploration ); précédent : 000752; suivant : 000754

The influence of progression of atrial fibrillation on quality of life: a report from the Euro Heart Survey.

Auteurs : Elton A M P. Dudink [Pays-Bas] ; Ömer Erküner [Pays-Bas] ; Jenny Berg [Suède] ; Robby Nieuwlaat [Canada] ; Cees B. De Vos [Pays-Bas] ; Bob Weijs [Pays-Bas] ; Alessandro Capucci [Italie] ; A John Camm [Royaume-Uni] ; Günter Breithardt [Allemagne] ; Jean-Yves Le Heuzey [France] ; Justin G L M. Luermans [Pays-Bas] ; Harry J G M. Crijns [Pays-Bas]

Source :

RBID : pubmed:29016989

Descripteurs français

English descriptors

Abstract

Aims

Progression of atrial fibrillation (AF) from paroxysmal to persistent forms is an active field of research. The influence of AF progression on health related quality of life (HRQoL) is currently unknown. We aimed to assess the influence of AF progression on HRQoL, and whether this association is mediated through symptoms, treatment, and major adverse events.

Methods and results

In the Euro Heart Survey, 967 patients were included with paroxysmal AF who filled out EuroQoL-5D at baseline and at 1 year follow-up. Those who progressed (n = 132, 13.6%) developed more problems during follow-up than those who did not, on all EuroQoL-5D domains (increase in problems on mobility 20.5% vs. 11.4%; self-care 12.9% vs. 6.2%; usual activities 23.5% vs. 14.0%; pain/discomfort 20.5% vs. 13.7%; and anxiety/depression 22.7% vs. 15.7%; all P < 0.05), leading to a decrease in utility [baseline 0.744 ± 0.26, follow-up 0.674 ± 0.36; difference -0.07 (95% CI [-0.126,-0.013], P = 0.02)]. Multivariate analysis showed that the effect of progression on utility is mediated by a large effect of adverse events [stroke (-0.27 (95% CI [-0.43,-0.11]); P = 0.001], heart failure [-0.12 (95% CI [-0.20,-0.05]); P = 0.001], malignancy (-0.31 (95% CI [-0.56,-0.05]); P = 0.02] or implantation of an implantable cardiac defibrillator [-0.12 (95% CI [-0.23,-0.02]); P = 0.03)], as well as symptomatic AF [-0.04 (95% CI [-0.08,-0.01]); P = 0.008].

Conclusion

AF progression is associated with a decrease in HRQoL. However, multivariate analysis revealed that AF progression itself does not have a negative effect on HRQoL, but that this effect can be attributed to a minor effect of the associated symptoms and a major effect of associated adverse events.


DOI: 10.1093/europace/eux217
PubMed: 29016989


Affiliations:


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Le document en format XML

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<nlm:affiliation>Department of Cardiology, Maastricht University Medical Center (MUMC+) and Cardiovascular Research Institute Maastricht (CARIM), P. Debyelaan 25, 6229 HX Maastricht, the Netherlands.</nlm:affiliation>
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<wicri:regionArea>Department of Cardiology and Angiology, University Hospital Münster, Albert-Schweitzer-Campus 1, 48149 Münster</wicri:regionArea>
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<name sortKey="Le Heuzey, Jean Yves" sort="Le Heuzey, Jean Yves" uniqKey="Le Heuzey J" first="Jean-Yves" last="Le Heuzey">Jean-Yves Le Heuzey</name>
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<country xml:lang="fr">France</country>
<wicri:regionArea>Department of Cardiology, Hôpital Européen Georges Pompidou, Université Paris Descartes, 20 Rue Leblanc, 75015 Paris</wicri:regionArea>
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<region type="region" nuts="2">Île-de-France</region>
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<country xml:lang="fr" wicri:curation="lc">Pays-Bas</country>
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<title level="j">Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology</title>
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<keywords scheme="KwdEn" xml:lang="en">
<term>Age Factors (MeSH)</term>
<term>Aged (MeSH)</term>
<term>Atrial Fibrillation (epidemiology)</term>
<term>Atrial Fibrillation (physiopathology)</term>
<term>Atrial Fibrillation (psychology)</term>
<term>Atrial Fibrillation (therapy)</term>
<term>Defibrillators, Implantable (psychology)</term>
<term>Defibrillators, Implantable (statistics & numerical data)</term>
<term>Disease Progression (MeSH)</term>
<term>Europe (epidemiology)</term>
<term>Female (MeSH)</term>
<term>Health Surveys (MeSH)</term>
<term>Heart Failure (etiology)</term>
<term>Heart Failure (psychology)</term>
<term>Humans (MeSH)</term>
<term>Long Term Adverse Effects (etiology)</term>
<term>Long Term Adverse Effects (psychology)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Quality of Life (MeSH)</term>
<term>Risk Assessment (MeSH)</term>
<term>Risk Factors (MeSH)</term>
<term>Stroke (etiology)</term>
<term>Stroke (psychology)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr">
<term>Accident vasculaire cérébral (psychologie)</term>
<term>Accident vasculaire cérébral (étiologie)</term>
<term>Adulte d'âge moyen (MeSH)</term>
<term>Appréciation des risques (MeSH)</term>
<term>Défaillance cardiaque (psychologie)</term>
<term>Défaillance cardiaque (étiologie)</term>
<term>Défibrillateurs implantables (psychologie)</term>
<term>Défibrillateurs implantables (statistiques et données numériques)</term>
<term>Effets indésirables à long terme (psychologie)</term>
<term>Effets indésirables à long terme (étiologie)</term>
<term>Enquêtes de santé (MeSH)</term>
<term>Europe (épidémiologie)</term>
<term>Facteurs de risque (MeSH)</term>
<term>Facteurs âges (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Fibrillation auriculaire (physiopathologie)</term>
<term>Fibrillation auriculaire (psychologie)</term>
<term>Fibrillation auriculaire (thérapie)</term>
<term>Fibrillation auriculaire (épidémiologie)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Qualité de vie (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Évolution de la maladie (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="geographic" qualifier="epidemiology" xml:lang="en">
<term>Europe</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en">
<term>Atrial Fibrillation</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Heart Failure</term>
<term>Long Term Adverse Effects</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathologie" xml:lang="fr">
<term>Fibrillation auriculaire</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Atrial Fibrillation</term>
</keywords>
<keywords scheme="MESH" qualifier="psychologie" xml:lang="fr">
<term>Accident vasculaire cérébral</term>
<term>Défaillance cardiaque</term>
<term>Défibrillateurs implantables</term>
<term>Effets indésirables à long terme</term>
<term>Fibrillation auriculaire</term>
</keywords>
<keywords scheme="MESH" qualifier="psychology" xml:lang="en">
<term>Atrial Fibrillation</term>
<term>Defibrillators, Implantable</term>
<term>Heart Failure</term>
<term>Long Term Adverse Effects</term>
<term>Stroke</term>
</keywords>
<keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en">
<term>Defibrillators, Implantable</term>
</keywords>
<keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr">
<term>Défibrillateurs implantables</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en">
<term>Atrial Fibrillation</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr">
<term>Fibrillation auriculaire</term>
</keywords>
<keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr">
<term>Europe</term>
<term>Fibrillation auriculaire</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr">
<term>Accident vasculaire cérébral</term>
<term>Défaillance cardiaque</term>
<term>Effets indésirables à long terme</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Age Factors</term>
<term>Aged</term>
<term>Disease Progression</term>
<term>Female</term>
<term>Health Surveys</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Quality of Life</term>
<term>Risk Assessment</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr">
<term>Adulte d'âge moyen</term>
<term>Appréciation des risques</term>
<term>Enquêtes de santé</term>
<term>Facteurs de risque</term>
<term>Facteurs âges</term>
<term>Femelle</term>
<term>Humains</term>
<term>Mâle</term>
<term>Qualité de vie</term>
<term>Sujet âgé</term>
<term>Évolution de la maladie</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p>
<b>Aims</b>
</p>
<p>Progression of atrial fibrillation (AF) from paroxysmal to persistent forms is an active field of research. The influence of AF progression on health related quality of life (HRQoL) is currently unknown. We aimed to assess the influence of AF progression on HRQoL, and whether this association is mediated through symptoms, treatment, and major adverse events.</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>Methods and results</b>
</p>
<p>In the Euro Heart Survey, 967 patients were included with paroxysmal AF who filled out EuroQoL-5D at baseline and at 1 year follow-up. Those who progressed (n = 132, 13.6%) developed more problems during follow-up than those who did not, on all EuroQoL-5D domains (increase in problems on mobility 20.5% vs. 11.4%; self-care 12.9% vs. 6.2%; usual activities 23.5% vs. 14.0%; pain/discomfort 20.5% vs. 13.7%; and anxiety/depression 22.7% vs. 15.7%; all P < 0.05), leading to a decrease in utility [baseline 0.744 ± 0.26, follow-up 0.674 ± 0.36; difference -0.07 (95% CI [-0.126,-0.013], P = 0.02)]. Multivariate analysis showed that the effect of progression on utility is mediated by a large effect of adverse events [stroke (-0.27 (95% CI [-0.43,-0.11]); P = 0.001], heart failure [-0.12 (95% CI [-0.20,-0.05]); P = 0.001], malignancy (-0.31 (95% CI [-0.56,-0.05]); P = 0.02] or implantation of an implantable cardiac defibrillator [-0.12 (95% CI [-0.23,-0.02]); P = 0.03)], as well as symptomatic AF [-0.04 (95% CI [-0.08,-0.01]); P = 0.008].</p>
</div>
<div type="abstract" xml:lang="en">
<p>
<b>Conclusion</b>
</p>
<p>AF progression is associated with a decrease in HRQoL. However, multivariate analysis revealed that AF progression itself does not have a negative effect on HRQoL, but that this effect can be attributed to a minor effect of the associated symptoms and a major effect of associated adverse events.</p>
</div>
</front>
</TEI>
<pubmed>
<MedlineCitation Status="MEDLINE" Owner="NLM">
<PMID Version="1">29016989</PMID>
<DateCompleted>
<Year>2019</Year>
<Month>03</Month>
<Day>01</Day>
</DateCompleted>
<DateRevised>
<Year>2019</Year>
<Month>03</Month>
<Day>01</Day>
</DateRevised>
<Article PubModel="Print">
<Journal>
<ISSN IssnType="Electronic">1532-2092</ISSN>
<JournalIssue CitedMedium="Internet">
<Volume>20</Volume>
<Issue>6</Issue>
<PubDate>
<Year>2018</Year>
<Month>06</Month>
<Day>01</Day>
</PubDate>
</JournalIssue>
<Title>Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology</Title>
<ISOAbbreviation>Europace</ISOAbbreviation>
</Journal>
<ArticleTitle>The influence of progression of atrial fibrillation on quality of life: a report from the Euro Heart Survey.</ArticleTitle>
<Pagination>
<MedlinePgn>929-934</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1093/europace/eux217</ELocationID>
<Abstract>
<AbstractText Label="Aims">Progression of atrial fibrillation (AF) from paroxysmal to persistent forms is an active field of research. The influence of AF progression on health related quality of life (HRQoL) is currently unknown. We aimed to assess the influence of AF progression on HRQoL, and whether this association is mediated through symptoms, treatment, and major adverse events.</AbstractText>
<AbstractText Label="Methods and results">In the Euro Heart Survey, 967 patients were included with paroxysmal AF who filled out EuroQoL-5D at baseline and at 1 year follow-up. Those who progressed (n = 132, 13.6%) developed more problems during follow-up than those who did not, on all EuroQoL-5D domains (increase in problems on mobility 20.5% vs. 11.4%; self-care 12.9% vs. 6.2%; usual activities 23.5% vs. 14.0%; pain/discomfort 20.5% vs. 13.7%; and anxiety/depression 22.7% vs. 15.7%; all P < 0.05), leading to a decrease in utility [baseline 0.744 ± 0.26, follow-up 0.674 ± 0.36; difference -0.07 (95% CI [-0.126,-0.013], P = 0.02)]. Multivariate analysis showed that the effect of progression on utility is mediated by a large effect of adverse events [stroke (-0.27 (95% CI [-0.43,-0.11]); P = 0.001], heart failure [-0.12 (95% CI [-0.20,-0.05]); P = 0.001], malignancy (-0.31 (95% CI [-0.56,-0.05]); P = 0.02] or implantation of an implantable cardiac defibrillator [-0.12 (95% CI [-0.23,-0.02]); P = 0.03)], as well as symptomatic AF [-0.04 (95% CI [-0.08,-0.01]); P = 0.008].</AbstractText>
<AbstractText Label="Conclusion">AF progression is associated with a decrease in HRQoL. However, multivariate analysis revealed that AF progression itself does not have a negative effect on HRQoL, but that this effect can be attributed to a minor effect of the associated symptoms and a major effect of associated adverse events.</AbstractText>
</Abstract>
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<Author ValidYN="Y">
<LastName>Dudink</LastName>
<ForeName>Elton A M P</ForeName>
<Initials>EAMP</Initials>
<AffiliationInfo>
<Affiliation>Department of Cardiology, Maastricht University Medical Center (MUMC+) and Cardiovascular Research Institute Maastricht (CARIM), P. Debyelaan 25, 6229 HX Maastricht, the Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Erküner</LastName>
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<AffiliationInfo>
<Affiliation>Department of Cardiology, Maastricht University Medical Center (MUMC+) and Cardiovascular Research Institute Maastricht (CARIM), P. Debyelaan 25, 6229 HX Maastricht, the Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Berg</LastName>
<ForeName>Jenny</ForeName>
<Initials>J</Initials>
<AffiliationInfo>
<Affiliation>Department of Learning, Informatics, Management and Ethics, Health Outcomes and Economic Evaluation Research Group, Karolinska Institutet, Tomtebodavägen 18 A, 171 77 Stockholm, Sweden.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Nieuwlaat</LastName>
<ForeName>Robby</ForeName>
<Initials>R</Initials>
<AffiliationInfo>
<Affiliation>Department of Clinical Epidemiology and Biostatistics, McMaster University, 1200 Main St W, Hamilton, ON L8N 3Z5, Canada.</Affiliation>
</AffiliationInfo>
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<LastName>de Vos</LastName>
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<Affiliation>Department of Cardiology, Maastricht University Medical Center (MUMC+) and Cardiovascular Research Institute Maastricht (CARIM), P. Debyelaan 25, 6229 HX Maastricht, the Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
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<Affiliation>Department of Cardiology, Maastricht University Medical Center (MUMC+) and Cardiovascular Research Institute Maastricht (CARIM), P. Debyelaan 25, 6229 HX Maastricht, the Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
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<LastName>Capucci</LastName>
<ForeName>Alessandro</ForeName>
<Initials>A</Initials>
<AffiliationInfo>
<Affiliation>Department of Cardiology, Marche Polytechnic University of Ancona, Via Conca 71, 60126 Ancona, Italy.</Affiliation>
</AffiliationInfo>
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<LastName>Camm</LastName>
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<AffiliationInfo>
<Affiliation>Department of Cardiology, Molecular and Clinical Sciences Research Institute, Cardiology Clinical Academic Group, St George's University of London, and St George's Hospital, University of London, Cranmer Terrace, London SW17 0RE, UK.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y">
<LastName>Breithardt</LastName>
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<AffiliationInfo>
<Affiliation>Department of Cardiology and Angiology, University Hospital Münster, Albert-Schweitzer-Campus 1, 48149 Münster, Germany.</Affiliation>
</AffiliationInfo>
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<LastName>Le Heuzey</LastName>
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<AffiliationInfo>
<Affiliation>Department of Cardiology, Hôpital Européen Georges Pompidou, Université Paris Descartes, 20 Rue Leblanc, 75015 Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
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</AffiliationInfo>
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<Affiliation>Department of Cardiology, Maastricht University Medical Center (MUMC+) and Cardiovascular Research Institute Maastricht (CARIM), P. Debyelaan 25, 6229 HX Maastricht, the Netherlands.</Affiliation>
</AffiliationInfo>
</Author>
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<Language>eng</Language>
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<Country>England</Country>
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<DescriptorName UI="D001281" MajorTopicYN="Y">Atrial Fibrillation</DescriptorName>
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<DescriptorName UI="D020521" MajorTopicYN="Y">Stroke</DescriptorName>
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<Month>04</Month>
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</PubMedPubDate>
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